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HomeMy WebLinkAbout2015-341 Contract - Alpine Environmental Consultants Contract for PERSONAL SERVICES less than $35,000 CITY OF CONSULTANT: Alpine Environmental Consultants LLC. ASHLAND CONTACT: Jonathan Williams R.G. 20 East Main Street Ashland, Oregon 97520 ADDRESS: 12208 Antioch Rd. Telephone: 541/488-6002 White City, OR 97503 Fax: 5411488-5311 TELEPHONE: 541 /944-46 85 DATE AGREEMENT PREPARED: 12-9-2015 FAX: BEGINNING DATE: 12-10-2015 COMPLETION DATE: 12-31-2016 COMPENSATION: Not to Exceed (NTE) $4,000, reference Exhibit C Proposal and Cost Estimate to Provide Tier II Corrective Action Support, NPDES Stormwater Discharge Permit, Ashland Municipal Airport. SERVICES TO BE PROVIDED: Reference Exhibit C, Proposal. 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 Contrail 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 lall 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, sole(, 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 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 specked 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 Liabilitv 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 Dama e, Contract for Personal Services, Revised 0610 212 01 5, 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. Consultant shall sign the certification attached hereto as Exhibit A and hemmer in incorporated by reference. onsyltant: City of Ashland I . By `t M _ 5. `ice, 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: Y (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. ntractor (Date) Contract for Personal Services, Revised 06/02/2015, Page 4 of 5 Alpine Environmental Consultants, LLC 12208 Antioch Road White Cite. Oreuon 97503 541.944.4685 jlvilliamsualpine-env -Ilc.corn EXHIBIT C December 8, 2015 Mr. Scott A. Fleury, Engineering Services Manager City of Ashland, Public Works 20 East Main Street Ashland, OR 97520 RE: Proposal and Cost Estimate to Provide Tier II Corrective Action Support, NPDES Stormwater Discharge Permit, Ashland Municipal Airport Dear Mr. Fleury, As requested, this letter proposal provides a scope of work and cost estimate for Alpine Environmental Consultants, LLC (AEC) to provide the City of Ashland (City) with Tier II Corrective Action Support on the National Pollutant Discharge Elimination System (NPDES) 1200-Z permit for the Ashland Municipal Airport (the Airport). Background Based on documents you provided to AEC and based on our joint walk at the Airport on October 21, 2015, AEC understands the geometric mean for zinc was exceeded in stormwater samples collected during the second year of permit coverage (i.e. latter half of 2014 and first half of 2015) from the West Outfall. Based on the zinc exceedances in stormwater samples collected from the West Outfall, the Oregon Department of Environmental Quality (DEQ) issued a letter dated September 29, 2015, requesting the City pursue Tier II Corrective Action at the Airport under the existing NPDES 1200-Z Industrial Stormwater Discharge Permit (File Number 107003). The Tier II Corrective Action requested by DEQ involves the following elements: • Prepare and submit a written response to DEQ by December 31, 2015, that identifies additional measures that will be implemented no later than June 17, 2017. These measures may include a combination of source control and stormwater treatment, the goal being to achieve the statewide benchmark for zinc in the future. 1 P a 9 e Alpine Environmental Consultants, LLC Mr. Scott Fleury December 8, 2015 • Revise the Stormwater Pollution Control Plan (SWPCP) prepared by the City in September 2013 to include the selected control measures, including the projected reduction of pollutant concentrations and an implementation schedule for installing the selected control measures. The SWPCP must be certified by licensed Professional Engineer (PE). SCOPE OF WORK The scope of work will consist of the following two tasks, as described below. Task 1 - Prepare and Submit a Letter Response to DEQ by December 31, 2015 AEC will prepare a letter response to DEQ describing the proposed control measures the City will implement in order to achieve the statewide benchmark for zinc at the West Outfall in the future. Accompanying this letter response will be a completed version of the Tier II Revised Stormwater Pollution Control Plan Checklist, a template of which was included in the DEQ letter to the City dated September 29, 2015. This letter response and associated Checklist will be submitted to DEQ on or before December 31, 2015, and will be certified by licensed PE. The DEQ letter to the City dated September 29, 2015, stipulates the December 2015 submittal to DEQ should also include relevant and updated portions of the SWPCP certified by a licensed PE. Based on a telephone discussion with Ms. Kristy Sewell of DEQ on December 8, 2015, the relevant portions of the SWPCP that should be covered in the letter response include descriptions of the current outfalls, the proposed elimination of the West Outfall, and a figure illustrating the locations of these features. The estimated cost to complete Task 1 is approximately $1,000. Task 2 - Prepare and Submit an Updated SWPCP Working closely with City personnel, AEC will prepare and submit to DEQ an updated SWPCP for the Airport. The updated SWPCP will be based in large part on the current SWPCP for the Airport prepared by the City and dated September 11, 2013. Based on our joint visit to the Airport on October 21, 2015, the logical and apparently cost-effective solution to addressing zinc exceedances in stormwater samples collected from the West Outfall is to completely eliminate the West Outfall that discharges to Neil Creek. This would be accomplished by terminating the stormwater pipeline between the Airport's runway and taxiway at the southeastern end of the Airport located southwest of the hangar areas and Airport office. Stormwater from this pipeline would then be routed to the northwest in the already existing swale located between the Airport runway and taxiway. This swale runs to the northwestern end of the runway and taxiway, terminating near the northwestern end of the Airport property. Stormwater from the swale would theoretically discharge to Emigrant Creek via a stormwater pipeline at what is identified as Outfall #3 in the 2 1 Page Alpine Environmental Consultants, LLC Mr. Scott Fleury December 8, 2015 Airport's current SWPCP dated September 11, 2013. However, AEC understands that to date, no stormwater discharges have been observed at Outfall #3. While no flow calculations have been performed, we agreed it was unlikely rerouting of stormwater from the West Outfall to Neil Creek would result in stormwater discharges in the future at Outfall #3. Even if this stormwater rerouting results in future discharges at Outfall #3, it is unlikely zinc exceedances would be recognized at Outfall 43 due to a combination of the relatively minor zinc exceedances recently observed at the West Outfall and from contributions of other stormwater sources that are not expected to have significant zinc concentrations. Per our discussions, AEC understands City personnel will be responsible for the design and construction associated with terminating the stormwater pipeline that currently feeds the West Outfall. AEC assumes the City will provide engineering drawings and other supporting figures for the updated SWPCP, and that City personnel will continue to be responsible for collecting stormwater samples, having those stormwater samples analyzed for the required parameters under the NPDES permit, and submitting Discharge Monitoring Reports (DMRs) to DEQ. Using the engineering drawings and other supporting figures provided by the City, AEC will update the SWPCP. The updated SWPCP will be certified by a licensed PE and be submitted to DEQ during the first half of 2016. The estimated cost to completed Task 2 is $3,000. ASSUMPTIONS The cost estimate and timely completion of the scope of work are dependent on the following: • City personnel will be responsible for the design and construction associated with terminating the stormwater pipeline that currently feeds the West Outfall and rerouting this stormwater to the swale located between the Airport runway and taxiway. • City personnel will be responsible for preparing engineering drawings and other supporting figures needed for the updated SWPCP. • The updated SWPCP will be in very large part based on the current SWPCP prepared by the City and dated September 11, 2013. • City personnel will continue to be responsible for collecting stormwater samples, having those stormwater samples analyzed for the required parameters under the NPDES permit, and submitting Discharge Monitoring Reports (DMRs) to DEQ • City personnel will continue to be responsible for maintaining and updating as necessary the Spill Prevention, Control, and Countermeasure (SPCC) Plan associated with the Airport's fuel tanks. The SPCC Plan will be included as an attachment to the updated SWPCP. 3 Page Alpine Environmental Consultants, LLC Mr. Scott Fleury December 8, 2015 PROJECT TEAM The project will be managed by Jonathan Williams, RG, Senior Hydrogeologist. Mr. Williams will take the lead in coordinating with City and DEQ personnel and in preparing submittals to DEQ. Mr. Doug Keeler, PE, will provide technical review and stamp the documents prior to submittal to DEQ. Mr. Williams and Mr. Keeler have worked together on various projects for over 15 years. BUDGET AND SCHEDULE AEC's estimated cost to complete these NPDES permit support tasks is $4,000, and will be conducted on a time and materials basis consistent with the attached Rate Sheet. Charges for work that are not part of the proposed scope of work are not included in the budget estimate. The estimated cost and proposed scope of work are based on information available to AEC at this time. If conditions change, unforeseen circumstances are encountered, or work efforts are redirected, the cost estimate may require modification. AEC can begin work on this project immediately after receiving your authorization to proceed. This proposal is valid for 60 days. I look forward to talking with you more about this opportunity. Please feel free to contact me at 541-944-4685 or jwilliams@alpine-enc-llc.com if you have any questions about our proposal. Sincerely, Alpine Environmental Consultants, LLC Jonathan D. Williams, RG Senior Hydrogeologist, Principal Attachments: AEC Rate Sheet 4 1 Page Alpine Environmental Consultants, LLC ALPINE ENVIRONMENTAL CONSULTANTS, LLC CONFIDENTIAL BUSINESS INFORMATION Standard Rates SCHEDULE OF PROFESSIONAL FEES AND EXPENSE CHARGES January 1, 2015 through December 31, 2015 Labor Rates Billing Title Hourly Rate Principal, Senior Scientist $145 Senior Engineer $135 Environmental Specialist/Geologist II $115 Environmental Specialist/Geologist 1 $100 Environmental Technician $90 CAD/GIS Analyst $85 Administrative Assistant $55 Equipment Fees and Expense Charges Item Fee Mileage Rate IRS Rate Off-Road Vehicle (4X4) $35 per day Other Field Equipment Varies by Equipment Black and White Copies $0.15 per page Color Copies $0.75/$1.00 per page Handling Charge for Subcontractors 5% Rental Vehicles Rental Cost plus fuel and 15% Expert Witness Testimony Deposition and Trial testimony, 200% of the hourly rates plus expenses. Preparation time, 150% of the hourly rates plus expenses. ALPIN-5 OP ID: SH DATE (MMIDD,rYYYY) CERTIFICATE OF LIABILITY INSURANCE 0412412015 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' Joe Schultz Pieper Ramsdell Agency PHONE Fax P.O. Box 596 AIC No Eg:503-397-0714 vc, Ne ; 503-397-0674 St. Helens, OR 97051 E-MAIL ADDRESS: Joe Schultz INSURER(S) AFFORDING COVERAGE NAiC # _ INSURER A; Homeland Insurance Co of NY _ INSURED Alpine Environmental INSURER B: Consultants, LLC INSURER C 12208 Antioch Road White City, OR 97503 INSURER D_ INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSD 4WD POLICY NUMBER mnourYYYY MMlDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 X X 793-00-32-64-0001 0510712015 0510712016 DAMAGE TO RENTED 50,00 CLAIMS-MADE OCCUR PREMISES Ea occurrence) $ NonOwned Auto MFD EXP (Any one person) $ 5,00 Hired Auto PERSONAL & ADV INJURY S 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POLICY PRO ❑ LOC PRODUCTS - COMPIOP AG_G $ 2,000,00 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident _ I ~ - 1 ANY AUTO BODILY INJURY (Pe, per=on) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ _ NON-OWNED PROPERTY DAMAGE r $ HIREDAUTOS AUTOS Peraccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ - DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE - E L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA _ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS belo-.v EL DISEASE -POLICY LIMIT $ A Pollution Liab 793-00-32-64-0001 0510712015 05/0712016 Limit 2,000,00 A Professional Liab 793-00-32-64-0001 0510712015 0510712016 Limit 2,000,00 DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Per attached endosements OVENV GE 301, OBENV GE 319, and OBENV GE 320 CERTIFICATE HOLDER CANCELLATION CITYASH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland OR, its THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. elected officials, officers and employees AUTHORIZED REPRESENTATIVE 20 East Main Street n~~C Ashland, OR 97520 S~ I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks ofACORD Policy Number: ?93-00-21-65-0001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS SCHEDULED PERSON OR ORGANIZATION - FORM This endorsement only modifies coverage provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS ENVIRONMENTAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization for which the Named Insured has agreed to provide insurance prior to loss as provided by this policy but only to the scope of insurance agreed to by the Named Insured. i (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the SCHEDULE above, but only with respect to liability arising out of your ongoing operations performed for that insured. - B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to bodily injury, property damage or environmental damage occurring after: (a) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed, or (b) That portion of your work out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. All other terms and conditions remain the same. OBENV GE 301 (02 11) Includes copyrighted material of Insurance Services Office, Inc. 1 of 1 Copyright 2011, OneBeacan In rurance Group LLC E-INSURED Policy Number: 793-00-21-64-0001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement only modifies coverage provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS ENVIRONMENTAL LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization for wl^ich the Named Insured has agreed to provide insurance prior to loss as provided by this policy but only to the scope of insurance agreed to by the Clamed Insured. SECTION IV - CONDITIONS, 13. Transfer of Rights of Recovery Against Others To Us is deleted and replaced with the following: 13. Transfer of Rights of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this policy, those rights are transferred to us. The insured must do nothing to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. Any recovery will be paid first to us until all amounts we have spent on a claim or suit have been reimbursed. The insured expressly waives the right to be made whole by any such recovery. We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with that person or organization and included in the products-completed operations hazard. This waiver applies only to the person or organization shown in the SCHEDULE above. All other terms and conditions remain the same. CeENV GE 320 (04 11) Includes copyrighted material of Insurance Services Office, Inc. 1 of 1 Copyright 2011, OneBeacon Insurance Group LLC E-INSURED THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT This endorsement modifies coverage provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART CONTRACTORS ENVIRONMENTAL LIABILITY COVERAGE PART SECTION IV - CONDITIONS, B. Other Insurance, is amended by adding the following paragraph: This insurance will be considered primary to, and non-contributory with any other insurance issued directly to a person or organization added as an additional insured under this policy, only if you specifically agree, in a written contract or agreement, that this insurance must be primary to, and non-contributory with, such other insurance. All other terms and conditions remain the same. OBENV GE 319 (02 11) Includes copyrighted material of Insurance Services Office, Inc. 1 of 1 Copyright 2011, OneBeacon Insurance Group LLC E-INSURED Page 1 / 1 CITY O•F S H LAND DATE E PO NUMBER A 12/18/2015 13293 I20 E MAIN ST. ASHLAND, OR 97520 l (541) 488-5300 VENDOR: 019195 SHIP T0: Ashland Public Works ALPINE ENVIRONMENTAL, CONSULTANTS LLC (541) 488-5587 12208 ANTIOCH ROAD 51 WINBURN WAY WHITE CITY, OR 97503 ASHLAND, OR 97520 FOB Point: Ashland, Oreqon Req. N:).: Terms: Net Dept.: Req. Del. Date: Contact: Scott Fleury Special Inst: Confirminla? No Quantity Unit Description Unit Price Ext. Price Consultinq Services - NPDES 1200-Z 4,000.00 Permit for the Ashland Municipal Airport Contract for Personal Services Beqinninq date: 12/10/2015 Completion date: 12/31/2016 i i SUBTOTAL 4,000.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 4,000.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 280.08.00.00.70410 4,000.00 1 Authoriz6d Signature VENDOR COPY FORM#3 CITY OF 'ASHLAND REQUISITION Date of request: 121~~~i6 Required date for delivery:e Vendor Name ALP tN'F-- e.-4%4 t eCnnt u&tSvc3S.L,. LA_ Address, City, State, Zip t22og L~11npC 4 iii-tltT_ 4' 6Z 9-450-5 Contact Name & Telephone Number SoHO~a~ V~~'t~Li9t>~S qt 1,144 _4tcsc" Fax Number SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached Attach co of council communication If council approval required, attach co of CC ❑ 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) -(Attach copy of council communication) ❑ 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 ❑ 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 - (Attach copy of council communication) Description of SERVICES Total Cost tMe> Z $ ac7 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST Per attached quote/proposal $ Project Number Account Number___-__-__- Account Numberlllt'- oe ao co 70q(oo 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, 1 certify that the City's public contracting requirements have been satisfied. Employee: Department Head: (Equal to or greater than $5,000) Department Manager/Supervis City Administrator: (Equal to or greater than $25,000) Funds appropriated for current fiscal year YES / NO Finance Director- (Equal to orgreater than $5,000) Date Comments: Form #3 - Requisition