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Home My WebLink About2015-253 CONT Addendum - Small Woodland Services ADDENDUM TO CITY OF ASHLAND CONTRACT FOR GOODS AND SERVICES Addendum made this 13th day of August, 2015, between the City of Ashland ("City") and Small Woodland Services, Inc. ("Contractor"). Recitals: A. On 09/12/2012, City and Contractor entered into a "City of Ashland Contract for Personal Services" (further referred to in this addendum as "the agreement"). B. The parties desire to amend the agreement to extend the contract effective date. City and Contractor agree to amend the agreement in the following manner: 1. The scope of services is modified to extend the expiration date to June 30th, 2016. 2. Except as modified above the terms of the agreement shall remain in full force and effect. CONTRA, 7 CITY OF ASHLAND: BY / BY epartment Head Its p<;A'er;'>` Date % DATE ~L%~% S~ Purchase Order # Acct. No.: //C' . i) 7 Z `i t"r~ . 1.10y! 4 (For City purposes only) 1- CITY OF ASHLAND, ADDENDUM TO CONTRACT FOR GOODS AND SERVICES SMALL-2 OP ID: TF l .4CC7I~D' DATE (MMlDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 0713012015 p THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed- If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holdor In Ilou of such andorsamont(s). PRODUCER COKTACT - Protectors Insurance, LLC NAME: Karol M. Igou Pilot Rock Ins Agency LLC (CA) (A/CNNo E : 541-773-5358 (AAic No): 541-772-1906 Po Box 4669 ADDRESS: karoli rotectorsins.com Mlediorci, OR 37501 Karol M. Igou INSURER(S) AFFORDING COVERAGE NAIC INSURERA:SAIF COr Oratioh 524113 INSURED Small Woodland Services Inc INSURERB:Toklo Marine Specialty Ins Martin L Main 2779 Camp Baker Road tNSURERC: Medford, OR 97501 INSURER D: INSURER E t INSUMP i r COVERAGES CERTIFICATE NO10BER: 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 - - - - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD NND POLICYNUMBER MMIDD (NIM[DONYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 100,00 CLAIMS-MADE OCCUR X PPK1356699 07101/2015 07/01/2016 p EtdISES (Ea occurrence) $ MED EXP (Any one person) $ 55,00 PERSOMAL & ADV INJURY $ 1,00,00 GEKL AG'GRE1aATE LIMITAPPOE5 PER: GENERAL AGGREGATE $ 1,000,00 X POLICY JECT LOC PRODUCTS - COMP(OPAGG $ 1,000,00 OTHER: Prof Llab $ 1,000,00 AUTONIOBILE LIABILITY COMBINED SINGkELIhIIT 1,000,00 (=e ocoidanE) B A,Ny AUTO PPK1356699 0710112015 0710112016 600ILY INJURY (Per p(lrson) $ ALL OWNED SCHEDULED AUTOS' AUTOS BODILY INJURY (Per accident) $ NONLOWNED PROPERTY DA NAGE X HIRED AUTOS X AUTOS (Per accident) $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION S $ WORKERS COMPENSATION FER _Oll-~ AND EMPLOYERS' LAIMLITY ST.?PJTE ER A ANY PROPP.I~OR.IPARTNER,'EXEr.LMVE YIN N 1 A 33755 D110112015 01101!20'16 E L tAoA ACr( err $ 500,00 EXCLUDED? (Mandatory in NH) CL GILElt~ G`.E4IPLOYEG Q 5300,00 OFFIUERIN4EMBER If yes, describe under MESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LU11IT 3 500,00 DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES tACORD 101, Addrdonal Remarks Schedule, maybe attached if more space is required) It is agreed and understood that the certificate holder is named as additional insured but only with respect to its liability arising out of the activities of the named insured CERTIFICATE HOLDER CANCELLATION CITYASH SHOULD ANY OF THE ABOVE DESCRIBED PouciES BE CANCELLED BEFORE of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL ISE DELIVERED IN City ACCORDANCE VATH THE POLICY PROVISIONS. Ashland Fire & Rescue 455 Siskiyou Blvd AUTHORIZED REPRESENTATIVE Ashland, OR 97520 c~. Q 1000-2414 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD na - and !ago are registered marks of ACORD w Page 1 / 1 ® CITY OF ASHLAND DATE PO NUMBER IVA& 20 E MAIN ST. 9/14/2015 13121 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 001765 SHIP TO: Ashland Fire Department SMALL WOODLAND SERVICES, INC. (541) 482-2770 PICK UP AT FRONT COUNTER 455 SISKIYOU BLVD 541-778-4545 ASHLAND, OR 97520 FOB Point: Ashland, Oreqon Req. No.: Terms: Net 15 days Dept.: Req. Del. Date: Contact: Chris Chambers Special Inst: Confirming? NO Quantity Unit Description Unit Price Ext. Price Consultinq Forestor - FY 2016 74,000.00 Contract extended to June 30,12016 SUBTOTAL 74 000.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 74,000.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 110.07.29.00.60416 74 000.00 Authorized Signature VENDOR COPY FORM#3 CITY OF lo r a >3 y Xc , ASHLAND REQUISITION Date of request: 9.11.15 Required date for delivery: 9.18.15 Vendor Name Small Wnnriland garvirac Inn. Address, City, State, Zip 2779 Camp Baker Road. Medford OR 97501 Contact Name & Telephone Number Marty Main, 541-778-4545 Fax Number Mmain3@mind.net SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached ❑ Small Procurement Cooperative Procurement Less than $5,000 ❑ 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 attached ® Special Procurement Contract # PERSONAL SERVICES ® Form #9, Request for Approval Intergovernmental Agreement $5,000 to $75,000 ® Written quote or proposal attached ❑ Agency ❑ Less than $35,000, by direct appointment Date approved by Council: 7/17/2012 Date original contract approved by Council: ❑ (3) Written proposals attached (Date) Valid until:6/30/2017 Description of SERVICES Total Cost Small Woodland Services, Inc to provide the services of a consulting forester for the City in the management of its forestlands and as assigned for work on adjacent federal lands. Services include land management planning, consulting on technical forestry issues, implementing Not to Exceed $74,000 silvicultural treatments and any associated tasks as requested by the City and agreed to by the contractor. Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ❑ Per attached quote/proposal $74,000 Project Number: NIA Account Number .07.29.00.604160 Account Number Account Number 'Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with department to approve all hardware and software purchases: IT Director Date Support -Yes /No By signing this requisition form,, I certify that /the~City's public contracting requirements have been satisfied. Employee: Department Head: ( (Equa(toor greater than $5,000) Department Manager/Supervisor: City Administrator: (Equal to-0r greatert an $25 00) Funds appropriated for current fiscal year YEY / NO ~j~p Finance Director- (Equal to or greatert $5,000) Date) Comments: Form #3 - Requisition