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HomeMy WebLinkAbout2015-203 Contract - Civil West Engineering Services Contract for PERSONAL SERVICES less than $35,000 CITY OF CONSULTANT: Civil West Engineering Services, Inc. ASHLAND CONTACT: Garrett Pallo, PE 20 East Main Street Ashland, Oregon 97520 ADDRESS: 486 `E' Street, Coos Bay, OR 97420 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: 541-266-8601 DATE AGREEMENT PREPARED: Jul 7, 2015 FAX. BEGINNING DATE: Jul 13, 2015 COMPLETION DATE: January 31, 2016 COMPENSATION: Not To Exceed $6,000.00 SERVICES TO BE PROVIDED: Professional peer review of consultant design/specifications for the Granite / Crowson Emergency Pump Station Project - PWE Project Number: 2014-19, per attached Exhibit C. ADDITIONAL TERMS: In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Personal 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 prima City of Ashland Contract. 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 $20,142.20 or more, Consultant is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in this chapter, to all employees performing work under this contract and to any Subcontractor who performs 50% or more of the service work under this contract. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. 9. Indemnification: Consultant agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from injury to any person (including injury 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 Consultant (including but not limited to, Consultant's 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 b the negligence of City. Contract for Personal Services, Revised 06/02/2015, Page 1 of 5 10. Termination: a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties. b. City's Convenience. This contract maybe terminated at anytime 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. d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, 1 000 000, or Not Applicable for each accident for Bodily Injury and Property Damage, Contract for Personal Services, Revised 06/0212015, Page 2 of 5 including coverage for owned, hired or non-owned vehicles, as applicable. 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. Co Itant shall the certification attached hereto as Exhibit A and herein incorporated b reference. Consult City of Ashland Signature Department Head 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. Contract for Personal Services, Revised 06/02/2015, 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. 7~t3-15 50"r ctor (Date) Contract for Personal Services, Revised 06/02/2015, Page 4 of 5 CITY • ASHLAND, OREGON EXHIBIT B City of Ashland LIVING WAGE per hour effective June 30, 2015 (Increases annually every June 30 by the 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. ➢ 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 50% 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 Personal Services, Revised 06/02/2015, Page 5 of 5 EXHIBIT C Rogue Valley Office Coos Bay Office 10558 Hwy 62, Ste. D 486 T Street C'V'' West /~Si.. Eagle Point, OR 97524 Coos Bay, OR 97420 VV M 541-326-4828 541-266-8601 Engineering Services, Inc. Albany Office Newport Office www.civilwest.COm 937-3 Geary Street 609 SW Hurbert Street Albany, OR 97322 Newport, OR 97366 541-223-5130 541-264-7040 PROPOSED SCOPE OF SERVICES Date: July 7, 2015 City Work Order Number: To: Mr. Morgan Wayman, Project Manager, City of Ashland From: Garrett Pallo, PE, President, Civil West Engineering Services, Inc. RE: Peer Review Services - RH2 Granite to Crowson BPS Civil West Project Number: 1003-005 Within this document, we will summarize and describe the services and support we propose to provide to the City of Ashland for peer review services for the TAP Booster Pump Station design which is being undertaken by RH2 Engineering. Background Summary The City of Ashland has recently undertaken an ambitious project to extend a waterline from Talent to deliver MWC water to the City of Ashland as a backup, secondary, or auxiliary water supply. As part of this project, a booster pump station must be constructed to lift water to the higher reaches of the system when water from TAP is being utilized. The purpose of the peer review process is many-fold and will vary from project to project. However, common elements of the peer review services are expected to include the following: • Review designs to confirm that they meet the City standards and planning criteria for a given project. • Discuss potential value engineering concepts with the design engineers to provide the best value and highest quality on City projects. • Act as a liaison with city engineering staff and operational staff during the peer review to confirm that they are in agreement with the details of the design. (However, it is assumed that the design consultant will have had their own coordination with city staff during their design efforts.) • Have an open and professional dialogue with the design engineer and provide support, insight, and other expertise to facilitate their design and the overall success and quality of the project. • The purpose of the peer review is not to tell the design engineer how to do their work or to mandate design considerations. Rather, the purpose is to ensure the City's goals are met and that the design engineer has the input and feedback they need to be successful with their project. • For this project, it is anticipated that peer reviews will take place at the 60% and 90% completion stages of the project though other coordination and communication is likely throughout the project. Peer review support is intended to expand the resources and capabilities of the City's engineering department and ensure quality projects are undertaken on City infrastructure. The peer reviewer will not take on the 1 City of Ashland - Peer Review Support - RH2 ('granite to Crowson BPS - Engineering Scope of Services responsibility for the design or any part of liability for the project. The reviewer shall work closely with the City and the design engineer to ensure the highest quality product is the end result of this process. Part A: Scope of Work The following tasks are expected to be undertaken as part of this peer review effort. Additional tasks are also listed for tasks that may be desired by the City as additional service items. The City will be able to request these, and other services, as they determine them to be necessary or desired. 1. Task 1- Project Management and Administration - Any successful project or engineering effort must include a measure of project management and administration to ensure that the project moves effectively from beginning to end and that the desired results are met. This task will include an allowance of hours for project management, organization, coordination, and general administration efforts. 2. Task 2- 60% Submittal Peer Review - Under this task, we will perform a peer review of the 60% submittal from RH2. Our review will include consideration of City standards, master planning or preliminary planning criteria, general design elements, potential value engineering options, and other review activities. It is recognized that this will not be a "final" review and that spelling, line type, drafting issues, and other issues will be more critical in the next (90%) review. The deliverable of the 60% review will be a review memorandum written to the City and RH2. The review memorandum will include two columns. The left column will describe the point of review including location in the plan set, or general description of the point. In the right column, we will include a short narrative or commentary on the issue. This may include just a recommendation, comment, or other notation to the designer. The memorandum will be intended to be easy for all parties (City, Civil West, and RH2) to reference and discuss. 3. Task 3 - 90% Submittal Peer Review - Under this task, we will perform a peer review of the 90% (or near final) submittal from RH2. Our review will coverthe issues and points discussed in the 60% review plus new design elements. This review will include consideration of spellings, notes, details, line types, and other design elements critical to a final plan set. In addition to the technical design issues, we will assist the design engineer in identifying design quality issues so that they are prepared to take the project to its 100% stage. The deliverable for this task will also include a review memorandum. 4. Task 4 - Peer Review Meetings - While not a requirement, we propose to include an allowance of hours for holding face-to-face peer review meetings where the key players from the City, RH2 and Civil West will come together to discuss the design submittal and its associated review. While a written review memorandum is necessary, a live meeting can accomplish more as the project participants come together to discuss the design and review findings. We would anticipate new thoughts, directions, and ideas to result from a peer review meeting that will transcend the review itself. 5. Task 5 -Project Reimbursable Expenses -This task will include a modest allowance for reimbursable expenses including reproduction, mileage, postage and other costs. If other additional tasks are desired, we will work with the City to amend this scope of services. Part B: Engineering Staff Available for this Proiect It is important that Civil West provide efficient and effective service to the City on this project. It is also important that the City have consistent and reliable support throughout the project. With that in mind, we are committing the following to this review process. 2 City of Ashland -Peer Review Support - RH2 Granite to Crowson BPS - Engineering Scope of Services 1. Garrett Pallo, PE - Our President and Firm Principal will lead this peer review process. He will manage the project, direct the resources of the firm, participate in the review process, and attend the review meetings. 2. James Parmenter, PE-James will be leading our team from our new office location in the Rogue Valley. James is a mechanical engineer with extensive experience in design of booster pump stations and related facilities. Asa local resource, his ability to respond quickly and efficiently will be key on this project. James will participate in the reviews, meetings, and will develop the review memorandums. 3. Jerek Hodge, PE - Jerek is a highly qualified electrical engineer with expertise in line power, controls, telemetry, and related design issues. Jerek will participate in the review process with regard to electrical, controls, and related project elements. The above staff are available and are planned to participate on this project. We have additional staff resources and expertise that can be brought to bear on the review effort if that is determined to be necessary or desired. Part C: Fee Proposal We have made an attempt to estimate the level of effort, scope, and amount of hours that may be required for each task described above. Based upon our understanding of the City's intent for this review, and our experience on similar efforts in the past, we believe the hours estimated should be adequate. Based on the staffing that we have assigned to this project, their billing rates, and the estimated hours for each task, we have developed a budget for this proposed scope of services. The summary below indicates the proposed engineering costs for each task along with the allowances proposed for the additional service items that could be provided upon request by the City. Task Summary of Proposed Engineering Budget: Budget 1 Project Management & Coordination $500.00 2 60% Submittal Peer Review $1,750.00 4 90% Submittal Peer Review $3,250.00 5 Peer Review Meetings $500.00 Total Proposed Budget (Base Project) $6,000.00 The project would be billed on a time and materials basis, utilizing the budgets above as a gauge for the level of effort and resources available for each task, unless modified under the direction of the City. Conclusion We are prepared to begin this work immediately and would look forward to scheduling a kickoff meeting with the City and RH2 to begin this peer review process. We look forward to showing how this process can be productive and will help the City secure the highest quality finished product. Please let me know if you have any questions. Sincerely, Civil West Engineering Services, Inc. J. Garrett Pallo, PE President 3 l ® DATE (MM/DD/YYYY) AcoR" CERTIFICATE OF LIABILITY INSURANCE 3/11/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: -__Michael J Hall Company- Company PHONE I, FAX Michael J Hall & T A/ N Ex 60-598-3700 A/C, Nol_ Hall & Company E-MAIL 19660 10th Ave NE ADDRESS: POulsbo WA 98370 INSURER(S~ AFFORDING COVERAGE NAIC # INSURERA.RLI_INSURANCE COMPANY 11,30113 wsuRED INSURERB:CATLIN INSURANCE COMPANY-INC 518 Civil West Engineering Services Inc INSURER C_;- dba IENGA of Southwest Oregon INSURER D 486 E Street - - - Coos Bay OR 97420 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 763139200 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. CY EXP IN SRI ADDL - LTR INSR'SUBR. POLICY EFF POLI TYPE OF INSURANCE LIMITS ' MM/DD/YYYY MM/DD/YYYY III WVD POLICY NUMBER A GENERAL LIABILITY PSB0003294 /1/2014 /1/2015 LEAC$2,000,000 AMjEa occurrences I~ COMMERCIAL GENERAL LIABILITY REMISES $1,000000 CLAIMS-MADE x OCCUR - I - - I I MED EXP (Any one person) I $10,000 X PERSONAL & ADV INJURY $2,000,000 'X Oepa/a tlo DlnSds I~II GENERAL AGGREGATE $4,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: ! PRODUCTS - COMP/OP AGG $4,000,000 X PRO POLICY -AUTOMOBILE LIABILITY LOC COMBINED SINGLE LIMIT _(Ea accident) $ - ANY AUTO BODILY INJURY (Per person) $ - - ALL OWNED SCHEDULED BODILY INJURY (Per accident) 1 $ AUTOS I AUTOS - HIRED AUTOS AUTOS er accident)_ $ A X UMBRELLA LIAB OCCUR PSE0003058 /1/2014 8/1/2015 EACH OCCURRENCE - $2,000,000 EXCESS LAB _ CLAIMS-MADE AGGREGATE 1 $2,000,000 DED RETENTION $ $ WORKERS COMPENSATION WC STATU- H TORY LIMITS_ AND EMPLOYERS' LIABILITY Y / N ~Ir - ANY PROPRIETOR/PARTNER/EXECUTIVE EACH ACCIDENT $ I DEL 1 ❑ I _ 'OFFICER/MEMBER EXCLUDED. N/A , (Mandatory in NH) ! E.L.-DISEASE _ - EA EMPLOYEE' $ If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Professional Liab;Claims Made AED6895440815 /1/2014 8/1/2015 $2,000,000 Per Claim $2,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) li Certificate Holder(s) is/are an Additional Insured on the Commercial General Liability and Auto Liability when required by written contract or agreement regarding activities by or on behalf of the Named Insured. The Commercial General Liability insurance is primary insurance and any other insurance maintained by the Additional Insured shall be excess only and non-contributing with this insurance. A waiver of subrogation applies to the Commercial General Liability, Auto Liability & Umbrella / Excess Liability in favor of the Additional Insured. Project: Professional Peer Review of Consultant Design/Specifications for the TAP Permanent Pump Station Project- PWE 2008-08 CERTIFICATE HOLDER CANCELLATION 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. 20 East Main Street Ashland OR 97520 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM - SECTION II - LIABILITY AND SECTION III AS IT PERTAINS TO LIABILITY ONLY A. First Aid And Good Samaritan Services a. Expected or Intended Injury 1. The following is added to Section II A.I. 'Bodily Injury' or "property damage" Business Liability Coverages expected or intended from the standpoint of We will pay (hose sums that the insured the insured. This exclusion does not apply becomes legally obligated to pay as damages to "bodily injury or "property damage" because of "bodily injury' arising out of either the resulting from the use reasonable force to rendering of or failure to render, "First Aid" or protect persons or property. "Good Samaritan Services" to any person. For D. Non-Owned Watercraft the purposes of this coverage grant, "First Aid" or "Good Samaritan Services" will be deemed to 1. Section 11 B.1.g. Exclusions, Aircraft, Auto Or meet the definition of "occurrence". For the Watercraft Subparagraph {2) is deleted and purposes of determining the applicable limits of replaced by the following: insurance, any act or omission together with all (2) A watercraft you do not own that is: related acts or omissions in the rendering of (a) Up to seventy-five (75) feet long; and "First Aid" or "Good Samaritan Services" to any one person will be deemed one 'occurrence". (b) Not being used to carry persons or a. "First Aid" means initial care for medical property for a charge; attention immediately following a "bodily 2. Only as respects to the insurance provided by injury" this provision C. Who Is An Insured is b. "Good Samaritan Services" means medical amended to include as an insured any person attention provided in an emergency and for who, with your express consent uses the which no remuneration is demanded or watercraft. received. 3. The insurance provided by this provision shall be 2. The insurance provided by this provision shall excess over any valid and collectible other be excess over any valid and collectible other insurance available to the insured, whether insurance available to any insured whether primary, excess, contingent or on any other primary, excess, contingent or any other basis, basis, except for the insurance purchased except for insurance purchased specifically by specifically by you to apply In excess of the you to apply in excess of the limits of Insurance Limits of Insurance shown in the declarations for shown in the declarations for Business Liability. this Coverage Part. B. Supplementary Payments E. Canoes Or Rowboats Section 11 A.M. Coverage Extension - The following is added to the exceptions contained Supplementary Payments Paragraphs 1.(b) and in Section II B.1.g. Exclusions, Aircraft, Auto Or 1.(d) are deleted and replaced with the following: Watercraft: (b) Up to $2,500 for the cost of bail bonds required (6) Any non-motorized canoe or rowboat owned by because of accidents or traffic violations arising the insured. Only as respects to the insurance out of any vehicle to which Business Liability provided by this provision C. Who Is An Coverage for "bodily injury" applies. We do not Insured is amended to include as an insured have to furnish these bonds. any person who, with your express consent, uses any such canoe or rowboat. (d) All reasonable expenses incurred by the insured F. Damage to Premises Rented to You at our request to assist in the investigation or defense of the claim or "suit", including actual 1. The last paragraph of Section II B.1. loss of earnings up to $500 a day because of Exclusions - Applicable To Business time off work. Liability Coverage is deleted and replaced by C. Reasonable Force - Bodily Injury Or Property the following: Damage Section II B.1.a. Exclusions, Expected Or Intended Injury, is deleted and replaced by the following: PPB 316 02 11 Page 2 of 7 Exclusions and o. in "Electronic data" means information, facts or SECTION 11 - LIABILITY do not apply to programs stored as or on, created or used on, or damage by water, fire, explosion, lightning, or transmitted to or from computer software smoke resulting from fire to premises while (including systems and applications software), rented to you, or temporarily occupied by you hard or floppy disks, CD-ROMS, tapes, drives, with permission by the owner. A separate cells, data processing devices or any other Damage To Premises Rented To You Limit of media which are used with electronically Insurance applies to this coverage as described controlled equipment. in paragraph D. Liability And Medical 3. For the purposes of the coverage provided by Expenses Limits of Insurance in SECTION 11- this endorsement, Section Ii F. Liability And LIABILITY. Medical Expenses Definitions, Paragraph 17. 2. Section 11 F.9.a. Liability And Medical is deleted and replaced by the following: Expenses Definitions, is deleted and replaced by the following: 17. "Property damage" means: a. A contract for a lease of premises. However, a. Physical injury to tangible property, that portion of the contract for a lease of including all resulting loss of use of that premises that Indemnifies any person or property. All such loss of use shall be organization for damage by water, fire, deemed to occur at the time of the explosion, lightning, or smoke resulting from physical Injury that caused it; fire to premises while rented to you or b. Loss of use of tangible property that is temporarily occupied by you with permission not physically injured. All such loss of of the owner is not an "insured contract"; use shall be deemed to occur at the 3. This provision does not apply if coverage for time of the "occurrence" that caused it; Damage To Premises Rented To You is or excluded by another endorsement to this policy. c. Loss of, loss of use of, damage to, G. Aircraft Chartered With Crew corruption of, inability to access, or in- 1 . The following is added to the exceptions ability to properly manipulate "electronic data", resulting from physical injury to contained in Section ll B.1.g. Exclusions, tangible property. All such loss of Aircraft, Auto or Watercraft: "electronic data" shall be deemed to (6) Any non-owned aircraft chartered to you occur at the time of the "occurrence" with a crew including a pilot. that caused it. 2. The insurance provided by this provision shall For the purposes of this insurance, be excess over any valid and collectible other "electronic data" is not tangible property. insurance available to the insured whether I. Who Is An Insured - Newly Acquired Or Formed primary, excess, contingent or on any other Organizations basis, except for insurance purchased specifically by you to apply in excess of the The following is added to Section 11 C. Who Is An Limits of Insurance shown in Declarations. Insured: H. Electronic Data Liability Any organization you newly acquire or form, other 1. Section 11 B.1.q. Exclusions is deleted and than a partnership, joint venture or limited liability replaced by the following: company, over which you maintain ownership or majority interest, will qualify as a Named Insured if q. Electronic Data there is no other similar insurance available to that Damages arising out of the loss of, loss of organization. However: use of, damage to, corruption of, inability to 1. Coverage under this provision is afforded only access, or inability to manipulate "electronic until the one hundred eightieth (180'h) day after data" that does not result from physical you acquire or form the organization or the end injury to tangible property. of the policy period, whichever is earlier; 2. The following definition is added to Section II F. 2. Coverage does not apply for "bodily injury" or Liability And Medical Expenses Definitions: "property damage" that occurred before you acquired or formed the organization. PPB 316 02 11 Page 3 of 7 3. Coverage does not apply for "personal ano (1) Only if the "bodily injury", "property dam- advertising injury" arising out of an offense age" or "personal and advertising injury committed before you acquired or formed the " is caused, In whole or in part, by you or organization, any person or organization performing 4. This provision does not apply to any operations on your behalf, and arises organization for which coverage is excluded by out of the ownership, maintenance or another endorsement to this policy. use of that part of any premises leased to you under that contract or agreement; J. Who Is An Insured - Unnamed Partnership Or or Joint Venture (2) The "bodily injury", "property damage" or 1, The last paragraph of Section II C. Who Is An "personal and advertising injury " is Insured: is deleted and replaced by the caused, in whole or in part, by you or following: any person or organization performing operations on your behalf, and arises No person or organization is an insured with out of the maintenance, operation or use respect to the conduct of any current or past partnership, joint venture or limited liability of equipment leased to you by such additional insured. company that is not shown as a Named Insured in the Declarations. However this limitation does 2. The insurance provided to such additional in- not apply to your liability with respect to your sured under this provision is subject to the conduct of the business of any current or past following: partnership or joint venture: a. The limits of insurance afforded to such a. That is not shown as a Named Insured in additional insured shall be the limits which the Declarations, and you agreed to provide in the contract or b. In which you are a member or partner but agreement, or the limits shown in the only if Declarations, whichever are less; and (i) Each and every member or partner in b. The insurance afforded to such additional insured does not apply: that joint venture or partnership is not a construction contractor, and (1) To any "bodily injury" or "property dam- (ii) The joint venture or partnership is not age" that occurs, or "personal and providing construction contracting advertising injury" caused by an offense committed, after you cease to be a services. tenant in that premises; 2. This provision does not apply to any person or (2) To any structural alterations, construc- organization for which coverage is excluded by tion or demolition operations performed another endorsement to this policy. by or on behalf of such additional 3. The insurance provided by this provision shall insured; be excess over any valid and collectible other (3) To any premises for which coverage is insurance, whether primary, excess, contingent excluded by another endorsement to or on any other basis, which is available covering your liability with respect to your this Coverage Part; conduct of the business of any current or past (4) To any "bodily injury" or "property dam- partnership or joint venture that is not shown as age" that occurs, or "personal and a Named Insured in the Declarations and which advertising injury" caused by an offense is issued to such partnership or joint venture. committed, after the equipment lease K. Additional Insured - Owner, Manager Or Lessor expires; or Of Premises Or Leased Equipment (5) If the equipment is leased with an Section 11 C. Who Is An Insured is amended to operator. include as an insured: 3. This provision does not apply on any basis to 1. Any person or organization that you have any person or organization for which coverage agreed in a contract or agreement to include as as an additional insured specifically is added by an additional insured on this policy, but: another endorsement to this policy. a. Only with respect to liability for "bodily injury" or "property damage" that occurs, or "personal and advertising injury" caused by an offense committed, after you have entered into that contract or agreement; and PPB 316 02 11 Page 4 of 7 L. Additional Insured - State Or Political is twice the Liability and Medical Expenses Subdivisions - Permits Related To Premises Or limit. Operations The aggregate limit for all "bodily injury" and Section If C. Who Is An Insured is amended to "property damage", medical expenses and include as an insured: "personal and advertising injury" other than 1. Any state or political subdivision that has issued "bodily injury" or "property damage" included in the "products-completed operations hazard" a permit in connection with premises owned or applies separately to each of your "projects" occupied by, or rented or loaned to, you, but away from premises owned by or occupied by only with respect to "bodily injury", "property „ damage", "personal and advertising injury" you or to each of your locations" owned by or arising out of the existence, ownership, use, occupied by you. maintenance, repair, construction, erection or "Projects" mean an area away from premises removal of advertising signs, awnings, canopies, owned by or rented to you at which you are cellar entrances, coal holes, driveways, performing operations pursuant to a contract or manholes, marquees, hoist away openings, agreement. For the purposes of determining the sidewalk vaults, elevators, street banners or applicable aggregate limit of insurance, each decorations for which that state or political "project" at the same "location" shall be subdivision has issued such permit. considered a single "project". 2. Any state or political subdivision that has issued For the purposes of this provision, "location" a permit, but only with respect to "bodily injury", means "property damage", "personal and advertising 1. premises involving the same or connecting injury" arising out of operations performed by lots; you or on your behalf for which that state or political subdivision has issued such permit. 2. premises where connection is interrupted However, no such state or political subdivision is only by a street, roadway, waterway or right- an Insured for: of-way of a railroad; or a. "Bodily injury", "property damage", "personal 3. premises where operations are performed in and advertising injury" arising out of op- sections, stages or phases as a continuation erations performed for that state or political of the same contract or agreement, even if subdivision; or the premises do not involve connecting lots. b. "Bodily injury" or "property damage" Subject to Paragraph a. or b. above, whichever included within the "products-completed applies, the Damage To Premises Rented To operations hazard". You Limit is the most we will pay for damages M. General Aggregate Limit - Per Project Or Per because of "property damage" to any one Location premises, while rented to you, or in the case of fire; explosion; lightning; smoke resulting from Section II D. Liability And Medical Expenses such fire, explosion or lightning; or water while Limits of Insurance, Paragraph 4. Aggregate rented to you or temporarily occupied by you Limits. is deleted and replaced by the following: with permission of the owner. 4. Aggregate Limits The Limits of Insurance of SECTION II - The most we will pay for: LIABILITY apply separately to each consecutive annual period and to any remaining period of a. All "bodily injury" and "property damage" less than twelve (12) months, starting with the that is included in the "products-completed beginning of the policy period shown in the operations hazard" is twice the Liability and Declarations, unless the policy period is Medical Expenses limit. extended after issuance for an additional period of less than twelve (12) months. In that case, the b. All: additional period will be deemed part of the last (1) "Bodily injury" and "property damage" preceding period for purposes of determining the except damages because of "bodily in- Limits of Insurance. jury" or "property damage" included in N. Knowledge And Notice Of Occurrence Or the "products-completed operations Offense hazard"; (2) Plus medical expenses; The following is added to Section II E. 2. Liability and Medical Expenses General Conditions, (3) Plus all "personal and advertising Injury" Duties In The Event of Occurrence, Offense, caused by offenses committed; Claim Or Suit: PPB 316 02 11 Page 5 of 7 1 Notice of an "occurrence" or of an offense which 3. The insurance provided by this provision shall may result in a claim must be given as soon as be excess over any valid and collectible Railroad practicable after knowledge of the "occurrence" or Protective Liability insurance available to an offense has been reported to you, one of your insured , whether primary, excess, contingent or "executive officers" (if you are a corporation), one of on any other basis, except for the insurance your partners who is an individual (if you are a purchased specifically by you to apply in excess partnership), one of your managers (if you are a of the Limits of Insurance shown in the limited liability company), one of your trustees who is declarations for this Coverage Part. an individual (if you are a trust), or an "employee" Q. Amended Personal And Advertising Injury (such as an insurance, loss control or risk manager Definition - Electronic Material or administrator) designated by you to give such notice. 1. The definition of "personal and advertising Knowledge by any other "employee" of an "occur- injury" in Section 11 F.14.d. Liability And rence" or offense does not imply that you also have Medical Expenses Definitions is deleted and such knowledge. replaced by the following: Notice of an "occurrence" or of an offense which d. Oral, written or electronic publication, in any may result in a claim will be deemed to be given as manner, of material that slanders or libels a soon as practicable to us if it is given in good faith as person or organization or disparages a soon as practicable to your workers' compensation, person's or organization's goods, products accident, or health insurer. This applies only if you or services; subsequently give notice of the "occurrence" or 2. The definition of "personal and advertising offense to us as soon as practicable after you, one injury" in Section II F.14.e. Liability And of your "executive officers" (if you are a corporation), Medical Expenses Definitions is deleted and one of your partners who is an individual (if you are replaced by the following: a partnership), one of your managers (if you are a limited liability company), one of your trustees who is s. Oral, written or electronic publication, any an individual (if you are a trust), or an "employee" ghtofrpriva privacy; that violates a person's (such as an insurance, loss control or risk manager or administrator) designated by you to give such 3. Section II B.1.p.(2) Exclusions for Personal notice discovers that the "occurrence" or offense And Advertising Injury is deleted and replaced may involve this policy. by the following: 0. Amended Bodily Injury Definition (2) Arising out of oral, written or electronic The definition of "bodily injury" in Section II F.3. publication of material if done by or at the Liability And Medical Expenses Definitions is direction of the insured with knowledge of its deleted and replaced by the following: falsity; "Bodily injury" means injury to the body, sickness, 4. Section II B.1.p.(2) Exclusions for Personal disease, or death. "Bodily injury" also means mental And Advertising Injury is deleted and replaced injury, mental anguish, emotional distress, pain and by the following: suffering, or shock resulting from injury to the body, (3) Arising out of oral, written or electronic sickness, disease or death of any person. publication of material whose first P. Amended Insured Contract Definition - publication took place before the beginning Construction Or Demolition Operations Within of the policy period; 50' Of Railroad R. Unintentional Omission 1. The definition of "insured contract" in Section II The following is added to SECTION IIi - COMMON F.9.c. Liability And Medical Expenses POLICY CONDITIONS Paragraph C. Concealment, Definitions is deleted and replaced by the Misrepresentation Or Fraud (BUT APPLICABLE following: ONLY TO SECTION II - LIABILITY) i c. Any easement or license agreement However as it pertains to Business Liability 2. The definition of "insured contract" in Section It Coverage only, the unintentional omission of, or 17.91(1) Liability And Medical Expenses unintentional error in, any information provided by Definitions is deleted. you which we relied upon in issuing this policy shall not prejudice your rights under this insurance. This provision does not affect our right to collect additional premium or to exercise our right of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. PPB 316 02 11 Page 6 of 7 S. Waiver Of Transfer Of Rights Of Recovery b. Ongoing and completed operations Against Others To Us performed by you, or on your behalf, under a SECTION III - COMMON POLICY CONDITIONS contract or agreement with that person or Paragraph K.2. Transfer of Rights of Recovery organization; Against Others to Us (BUT APPLICABLE ONLY c. Your "work"; or TO SECTION II - LIABILITY) is deleted and d. "Your products". replaced by the following: 2. Applicable to Business Liability Coverage: We waive these rights only where you have agreed to do so as part of a contract or agree- We waive any rights of recovery we may have ment entered into by you before the "bodily against any person or organization because of injury" or "property damage" occurs or the payments we make for "bodily injury", "property "personal and advertising injury" offense is damage", "personal injury and advertising injury" committed. arising out of: a. Premises owned by you, temporarily occu- pied by you with permission of the owner, or leased or rented to you; ALL OTHER TERMS AND CONDITIQNS OF THIS POLICY REMAIN UNCHANGED. PPB 316 02 11 Page 7 of 7 ACORD,M CERTIFICATE OF LIABILITY INSURANCE D 3/11/2015Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Millward Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 11142 N Highland Blvd #300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Highland UT, 84003 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A:Enumclaw Civil West Engineering Services, Inc. INSURER B. 486 E Street - Coos Bay OR, 97420 INSURER C: INSURER D: _ INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SIR DD' POLICY EFFECTIVE POLICY EXPIRATION LTR N RD POLICY NUMBER DATE M D Y DATE MM Y LIMITS GENERAL LIABILITY EACH OCCURRENCE _ DAMAGE TO RENTED - $ COMMERCIAL GENERAL LIABILITY _ PREMISES (Ea occurence)__ _ CLAIMS MADE OCCUR MED EXP (Anyone person) _ S PERSONAL&ADV INJURY $ ail GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY DECO LOC A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 ANY AUTO (Ea accident) ALLOWNEDAUTOS BODILY INJURY (Per person) $ scHEDULEDnuros BAP000403300 08/01/2014 08/01/2015 i~ NON-OWN DAUTOS (Per INJURY S hhh j (ccldent) li PROPERTY DAMAGE $ (Per accident) I GARAGE LIABILITY AUTO ONLY - EAACCIDENT+S ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ - EXCESS/UMBRELLA LIABILITY .l EACHOCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE DEDUCTIBLE r $ RETENTION S S - WORKERS COMPENSATION AND WC STATU- OTH TORY LIMITS! _ ER_ EMPLOYERS' LIABILITY E.L. EACH ACCIDENT S _ 'I ANY PROPRIETOR/PARTNER/EXECUTIVE - OFFICER/MEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE S SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS This Certificate verifies that coverage is currently in force. *Except for 10-Day Notice of Cancellation for Non-Payment of Premium. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 20 East Main Street DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN Ashland, OR 97520 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUT E 11 PR . lITATIVE ACORD 25 (2001/08) V -1 © ACORD CORPORATION 1988 7 a DATE (MNJDDNYYY) AC40R° CERTIFICATE OF LIABILITY INSURANCE 3/11/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Tina Eck Huggins Ins. of Coos Bay PHONE (541) 269-1103 FAX (541) 269-2381 445 Elrod Ave E-MAIL .tins@hugginsinsurance.com PO BOX 1019 INSURER(S) AFFORDING COVERAGE NAIC # Coos Bay OR 97420-0223 INSURERA:SAIF Corporation INSURED INSURER B : Civil West Engineering Services, Inc. INSURERC: 486 E Street INSURER D: INSURER E: COOS Bay OR 97420 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1531104372 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 SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER (MMIDDfYYYY) GENERAL LIABILITY EACH OCCURRENCE $ DAMA TED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ CLAIMS-MADE F7 OCCUR MED EXP (Any one person $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY R,?j F-1 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT BODILY INJURY (Per person) $ ANY AUTO - ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS NAUTO$ ON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS accident) Ipar UMBRELLA LIAB LJ OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DIED RETENTION $ $ A WORKERS COMPENSATION WC STATU- OTH-TORY LIMITS I I ER AND EMPLOYERS' LIABILITY /01/2014 /01/2015 ANY PROPRIETORIPARTNER/EXECUTIVE YIN 36954 E. L. EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under D ESC RIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) V I CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF ASHLAND 20 E MAIN STREET ASHLAND, OR 97520 AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 po1om).ot The ACORD name and logo are registered marks of ACORD Page 1 / 1 CITY OF ASH LAND DATE ::9 PO NUMBER 5 1 20 E MAIN ST. 7/28/2013026 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 018505 SHIP TO: Ashland Public Works CIVIL WEST ENGINEERING SERVICE (541) 488-5587 486 E STREET 51 WINBURN WAY COOS BAY, OR 97420 ASHLAND, OR 97520 FOB Point: Ashland, Oreqon Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Morqan Wayman Special Inst: Confirming? No Quanti Unit Description Unit Price Ext. Price Professional peer review of consultant 6,000.00 desiqn/specifications for the Granite / Crowson Emerqency Pump Station Project - PWE. Project Number: 2014-19, per attached contract Exhibit C. Contract for Personal Services Beqinninq date: July 13, 2015 Completion date: January 31, 2016 i SUBTOTAL 6,000.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 6,000.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 670.08.15.00.70420 E 201419.999 6,000.00 VENDOR COPY Authorized Signature ' FORM #3 CITY OF ASHLAND REQUISITION Date of request: 07/07/2015 Required date for delivery: ASAP Vendor Name Civil West Engineering Services, Inc. Address, City, State, Zip 486 E Street, Coos Bay, OR 97420 Contact Name & Telephone Number Garrett Pallo, PE 541-266-8601 Fax Number N/A 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 ❑ 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 Professional peer review of consultant design/specifications for the Granite / Crowson Emergency Pump Station Project - PVVE Project Not To Exceed $6000.00 Number: 2014-19, per attached contract Exhibit C. Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ❑ Per attached quote/proposal $ Project Number - - Account Number___-__-__ - Account Number (a~b -C6 -1S - 00 -704Z°a 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 requisitio form, I certify that the -city's public contracting requirements have been satisfied. Employee: 'i Department Head: (Equal to or greater than $5,000) Department Mana er upervisor: cll City Administrator: (Equal to or greater than $25,000) Funds appropriated for current fiscal year: ES / NO //?1 1/ 1~ 1 I A, ) Finance (Equaltoorgreaterthan$5,000) Date 1 Comments: Form #3 - Requisition CITY OF FORM #4 ASHLAND DETERMINATIONS TO PROCURE PERSONAL SERVICES $5,000 to $75,000 To: Dave Kanner, Public Contracting Officer From: Michael R. Faught - Director of Public Works Date: July 7, 2015 Re: DETERMINATIONS TO PROCURE PERSONAL SERVICES In accordance with AMC 2.50.120(A), for personal services contracts greater than $5,000, but less than $75,000, the Department Head shall make findings that City personnel are not available to perform the services, and that the City does not have the personnel or resources to perform the services required under the proposed contract. However, the City Attorney, the Public Contracting Officer, or Local Contract Review Board, can require a formal solicitation for bids to ensure that the purposes of this chapter are upheld: Background The Department of Public Works intent isl to contract with a private consultant the appropriate scope of services developed for project number 2014-19; Professional Peer Review of Plans and Specification for the Granite / Crowson Emergency Pump Station. The scope of work for this project is associated with an approved master plan capital improvement project. The work will include but is not limited to (see attached Scope of Services) The work is expected to take place in the FY 2016 with a not to exceed budget amount of S6.000.00. Pursuant to AMC 2.50.120(A), has a reasonable inquiry been conducted as to the availability of City personnel to perform the services, and that the City does not have the personnel and resources to perform the services required under;the proposed contract? The City ofAshlmnd Engineering Division does not have the adequate staff time or appropriate resources to provide the scope of service contemplated tinder this contract. In addition, no other Department in the City has the resources or technical knowledge to complete the work associated with this Personal Services Contract. Form #4 - Department Head Determinations to Procure Personal Services, Page 1 of 1, 717/2015