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HomeMy WebLinkAbout2016-006 Contract - Accurate Plumbing Solutions J Contract for GOODS AND SERVICES Less than $25,000 psy< c CONTRACTOR: Accurate Plumbing CONTACT: Bob ~'g N'yh Sousa 41 RECf' 340 S. Pioneer Street ADDRESS: 711 Medford Center, PMB 211, Medford, OR Ashland, Oregon 97520 97504 Telephone: 541/488-5340 Fax: 541/488-5314 TELEPHONE: 541 / 773-3035 DATE AGREEMENT PREPARED: 12/29/15 Email: a sinc lumb mail.com BEGINNING DATE: 1/11/16 COMPLETION DATE: 1/22/16 COMPENSATION: $477.00 GOODS AND SERVICES TO BE PROVIDED: Install drinking fountain at the Hunter Park Daniel Meyer Pool. ADDITIONAL TERMS: In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Goods and Services will be primary and take precedence, and any exhibits or ancillary contracts or agreements having redundant or contrary provisions will be subordinate to and interpreted in a manner that will not conflict with the said rims City of Ashland Contract. NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the CITY AND CONTRACTOR AGREE as follows: 1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such work. 2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are so registered, licensed and bonded. Contractor must also maintain a current City business license. 3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later than the date indicated above and start performing the work under this contract by the beginning date indicated above and complete the work by the completion date indicated above. 4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs and expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely terminated, payments will be made for work completed and accepted to date of termination. Compensation under this contract, including all costs and expenses of Contractor, is limited to $25,000.00, unless a separate written contract is entered into by the City. 5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of City. 6. Statutory Requirements: ORS 2798.220, 27913.225, 279B.230, 27913.235, ORS Chapter 244 and ORS 670.600 are made part of this contract. 7. Living Wage Requirements: If contractor is providing services under this contract and the amount of this contract is $20,142.20 or more, Contractor is required to comply with chapter 3.12 of the Ashland Municipal Code by paying a living wage, as defined in this chapter, to all employees performing work under this contract and to any subcontractor who performs 50% or more of the work under this contract. Contractor is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. & Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless from any and all losses, claims, actions, costs, expenses, judgments, subrogations, or other damages resulting from injury to any person (including injury resulting in death), or damage (including loss or destruction) to property, of whatsoever nature arising out of or incident to the performance of this contract by Contractor (including but not limited to, Contractor's employees, agents, and others designated by Contractor to perform work or services attendant to this contract). Contractor shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City. 9. Termination: a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties. b. City's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing and delivered by certified mail or in person. C. For Cause. City may terminate or modify this contract, in whole or in art, effective upon deliver of Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 1 of 5 written notice to Contractor, or at such later date as may be established by City under any of the following conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this contract or are no longer eligible for the funding proposed for payments authorized by this contract; or iii. If any license or certificate required by law or regulation to be held by Contractor to provide the services required by this contract is for any reason denied, revoked, suspended, or not renewed. d. For Default or Breach. i. Either City or Contractor may terminate this contract in the event of a breach of the contract by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and intent to terminate. If the party committing the breach has not entirely cured the breach within 15 days of the date of the notice, or within such other period as the party giving the notice may authorize or require, then the contract may be terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time is of the essence for Contractor's performance of each and every obligation and duty under this contract. City by written notice to Contractor of default or breach, may at any time terminate the whole or any part of this contract if Contractor fails to provide services called for by this contract within the time specified herein or in any extension thereof. iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in addition to any other rights and remedies provided by law or under this contract. e. Obligation/Liability of Parties. Termination or modification of this contract pursuant to subsections a, b, or c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such termination or modification. However, upon receiving a notice of termination (regardless whether such notice is given pursuant to subsections a, b, c or d of this section, Contractor shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Contractor shall deliver to City all contract documents, information, works-in-progress and other property that are or would be deliverables had the contract been completed. City shall pay Contractor for work performed prior to the termination date if such work was performed in accordance with the Contract. 10. Independent Contractor Status: Contractor is an independent Contractor and not an employee of the City. Contractor shall have the complete responsibility for the performance of this contract. 11. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated against minority, women or emerging small businesses enterprises in obtaining any required subcontracts. Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any requirement of ORS 279A.110 or the administrative rules implementing the Statute. 12. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an asbestos abatement license. 13. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Contractor shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. 14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible in the performance of the contract work set forth in this document. 15. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; if it loses its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a QRF if Contractor has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or delegate duties under, the Contract. 16. Insurance. Contractor shall at its own expense provide the following insurance: a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. General Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1,000,000, $2,000.000 or Not Applicable for each occurrence for Bodily Injury and Property Damage. C. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $200,000, $500,000, $1,000,000, or Not Applicable for each accident for Bodily Injury and Property e, Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 2 of 5 including coverage for owned, hired or non-owned vehicles, as applicable. d. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance coverage(s) without 30 days' written notice from the Contractor or its insurer(s) to the City. e. Additional Insured/Certificates of Insurance. Contractor shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies required herein but only with respect to Contractor's services to be provided under this Contract. As evidence of the insurance coverages required by this Contract, the Contractor shall furnish acceptable insurance certificates prior to commencing work under this contract. The contractor's insurance is primary and non-contributory. The certificate will specify all of the parties who are Additional Insureds. Insuring companies or entities are subject to the City's acceptance. If requested, complete copies of insurance policies, trust agreements, etc. shall be provided to the City. The Contractor shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self- insurance. 17. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon without resort to any jurisdiction's conflict of laws, rules or doctrines. Any claim, action, suit or proceeding (collectively, "the claim") between the City (and/or any other or department of the State of Oregon) and the Contractor that arises from or relates to this contract shall be brought and conducted solely and exclusively within the Circuit Court of Jackson County for the State of Oregon. If, however, the claim must be brought in a federal forum, then it shall be brought and conducted solely and exclusively within the United States District Court for the District of Oregon filed in Jackson County, Oregon. Contractor, by the signature herein of its authorized representative, hereby consents to the in personam jurisdiction of said courts. In no event shall this section be construed as a waiver by City of any form of defense or immunity, based on the Eleventh Amendment to the United States Constitution, or otherwise, from any claim or from the jurisdiction. 18. THIS CONTRACT AND ATTACHED EXHIBITS CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER, CONSENT, MODIFICATION OR CHANGE OF TERMS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. SUCH WAIVER, CONSENT, MODIFICATION OR CHANGE, IF MADE, SHALL BE EFFECTIVE ONLY IN THE SPECIFIC INSTANCE AND FOR THE SPECIFIC PURPOSE GIVEN. THERE ARE NO UNDERSTANDINGS, AGREEMENTS, OR REPRESENTATIONS, ORAL OR WRITTEN, NOT SPECIFIED HEREIN REGARDING THIS CONTRACT. CONTRACTOR, BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE, HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND CONDITIONS. 19. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Contractor understands and agrees that City's payment of amounts under this contract attributable to work performed after the last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this contract without penalty or liability to City, effective upon the delivery of written notice to Contractor, with no further liability to Contractor. 20. Prior Approval Required Provision. Approval by the City of Ashland Council or the Public Contracting Officer is required before any work may begin under this contract. 21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by reference. Contrac or: City of Ashlan r-: r~ r } By By Signature Department Head Print Name Print Name V 1?ze S ~ r / l )C/ Title Date W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. Y [ Contract for Goods and Services Less than $25,000, Revised 06/0212015, 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. ad44 -Co -a r Contractor (Date) Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 4 of 5 CITY OF ASHLAND~ OREGON EXHIBIT B City of Ashland LIVING WAG= per hour effective June 30, 2015 (Increases annually every June 30 by the ILA 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 Goods and Services Less than $25,000, Revised 06/0212015, Page 5 of 5 Accurate Plumbing Solutions, Inc. 711 Medford Center PMB 211 Medford, OR 97504 541-773-3035 Fax: 541-773-3980 CCB# 177438 Email: apsincplumb@gmail.com BID PROPOSAL DATE: December 23, 2015 CONTRACT AMOUNT: $477.00 Payment schedule as follows: Balance is due upon job completion. PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: Owner: Parks and Recreation Address: Daniel Meyer Pool Building, 1705 Homes Avenue Address: 540 YMCA Way City: Ashland, Oregon City: Ashland, OR 97520 Phone: 541-324-4112 Phone: 541-552-2252 Email: Thank you for allowing Accurate Plumbing Solutions the opportunity to bid this project for you. Our estimate is based on your plans and specifications. Please feel free to call and discuss this quote at any time. SCOPE OF WORK: APS will install customer supplied drinking fountain, hook waters up and tie drains in. This bid includes all labor and material. *Note: A 3% charge will be added to all credit card payments over $300.00. Delinquent accounts will be charged a minimum of $25.00 or 3% per month on all past due invoices. All material is guaranteed to be a specified. Any alteration or deviation from above specifications involving additional extra costs will be executed only upon additional written orders and will become an additional extra on the project. All agreements are contingent upon accidents or delays beyond our control. Liability Disclaimer: APS, Inc. is not responsible for any unmarked utilities, irrigation, water, private power, and other. Repairs will be done at the owner's expense at time and material costs. Reasonable access to be provided for equipment unless discussed prior to job. Extra cost to complete job due to verbal changes, adverse weather, ground, or rock conditions will be billed out at time and material costs. The prices quoted above are subject to change after 90 days of this proposal. ACCEPTANCE OF PROPOSAL The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Signature Date of Acceptance Page 1 of 1 M O m - m~ , q ua "tl r) O ©;u Q ° Om o ~r D w z C ~ m O O --t z 00 r-- 0 0 Z z -n ~i a> O CA A z 8M m ~ C 0 I mm oo CA Cl) a) JJJQ v rig -i ~ x► cr+ OU 0 r- O in O o ! T m m 4 V1 c.. ~ )b rn 0 V - r Fram:INSURANCE MARKETPLACE 10/15/2015 14:55 0746 P.005/006 CO 7288 1111 MEDIC11L.PAYAWNT$ policy proviled awh failure to disclose all 3EC74t~N III - LIMITS OF INISl1AANCF, t zercb or prior `omurorms" or offenses is not Inte ntlorrat. This provision does not Paragraph T. is tppliwed: affect our right to eo4W additional premium 7. 9ubjeeetta 6, abova,ihehIV1wof: or exercke or d& of tam ilalicrl or non- e. $to,WO;or renewal. b. The amount s io" In the Declarations WAIVER OF SUBROOATiON for Med4al E*w= Limit to the most SECTION IV - OOMMEFICIAL GENERAL we wig pay under Coverage C for aA LIABILITY CONDITIONS, S. Transfer of PA is mod k;al eapehses because of 'bodily 0 Reoavwy Against Oftra to Lis Is amended hjury' suslatrred by or* person. to include: This coverage does rAA `y If Covorape O - N requilred by a written contract exe"d Mbdlcnf Payments 6 excluded alther by the prior to loss, we waxlve any right of provislons of arty oDvamoe forms attaohed to the subrogatlon vx may have against the policy orbyendorsement oon"Wr-a person or organization bomuse KNOV UMIGE OF AN 00CURRIME of payments we make for In jury or damage 8ECTION IV - CONIMEMIAL GENERAL arising out of yow onooN operations or (JAB [L"Y CONDITIONS~ The following Is added "your mW done under a cordW with that 2 Rntles In The Event Of 4ocunartCa, person or eryanizatfon aW Included In the to to 2- Or S1dt comfit Of "products completed operations hazaW. Oftn3a, im Ckft I LIBERALIZATION e. 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The requiremartls In Section IV BROADENED $OMY INJURY DM4Ni ON Conditions Peregraph 2.b. will not be WENTAL ANGUISH) considered breached unless iftere Is SEC'1110Nl V - DEFiNMONS Is amended as krnswltrdga of ocwrro a as of ineud in t0owsr paragraph w above. 1, & 'Bodily IrEjtrcy" is deleted aril replaced with VWNT1EfMNAL FAILURL; 'TO DISCLOSE thefcYiowlnp: HAZMD "Bodily injury' means physiaeal injury, SE-0110N IV - COMMERCIAL GENERAL eloknow or doom to a porann arA If LIABILITY CONDITIONS, 6. Reps WIl atlons Is arising out of the forepohe, mental arrgtAsh, amended to Include: mental Injury, shook or humllletion, inckrding d. Yoti failure to dtsdose all hazards or prior death at any ilme resulting theret om Wou rancea" or offenses eidsting as of the hcepllon date of the policy styli not prejudkre the coverega afforded by this Aft Corms and condlitons of this poltcy apply unto" modffW by thin ondorsorlneM. i I Pape 4 of 4 Incdudee copyrightead maiertal of Inaranpe 6arvioes QHW, in. 0072881111 wftr► he pamUeslom t.15.2015 05:00 AM Robert Pinnell State Farm 541 826 6333 PAGE. 1/ 1 C+PIk CERTIFICATE OF LIABILITY INSURANCE DA Y) THIS CERT)FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, PX719ND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(8), AUTHORIZED REPRESENTATIVE OR PROD=R, AND THE CERTIFICATE HOLDER, I PORTANTi if the certlflapte hp der is an ADDITIONAL 10111140, the poliay(les) must Uo endoreed. if BUBROGATI 19 (VED, subject to tho torms and conditions of tho pollcy, certain poNeise may roqu)re an endar"mont. A eletoMont on thle CertifIceta does not oonfor rights to the cortifloate holder In I(su of such endorsomen s , PRODUCER June Reow Robert Pinneil ,841 8xe-8333 SfaNFarm 10558 Highway 62, Suite C -AL Eagle Point OR 97524 _wtuRdx(s}ArroKantocovnlaap A. _ _NAIC~1 INIURBRA :State FaIrn Mut_uB_i AWOMOblle 1ASUr9n0p Company _ 28178 IMBIJKeo - Accurate Plumbing Solutions, inc INSURxite: 711 Medford Center # 211 INSURIR C : T , • . MedfOtd, OR 97504 COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLIOY PERIOD INDICATFD. 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 POLIOIE$ DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUGH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ Vqtj ~TYPEOfiNeuRANCE M,@R LV117s COMMEROIALONNERALUASILITY "GKOCCURRENCE 0 OLAIMS•I.IADE OCCUR t-.J -b4!$Ix8lEeooounenvol- MEp_G)iP(An one on S _ _ ---Y_~ - _ _M1S0 AL&ADVINd RY GIM ApORtOATI LIMIT APPLIES PER; OpN?f(AL AGGREGATE _ i , _ POIJOY ❑ J'ERT ( L1 LOC PRODUCTS-COMP/OPAGG $ _ i 918011 Mal FOUINCLUUMIT A AUVOMORILLUABILITY _ i AW AUTO 160 1049 E14 37 0614412016 a61141201e BOIXYINJVRY(Perperaon) .0....____1,000,000 SCHEDULED EEDULED BODILYINJURYIPerwadanq 5 1,000,000 S ALLOO9 EO Mx •owr1ED 246 5629 F03 37 0810312016 121031201A X HIREOAUTOS AUTOS 134 D303 00437 1010412016 04104/2018 ( f 1,000,000 3 UM15"LLA UAB OCCUR 1 ACH OCCURRENCE 0 eXGHttL1A0 GIAiMI•MAOE AOOREQATG i~..~.,,,, - 4OEI- IF -RETENTION w0RK8Re COMPSNBATiON A E AND VOLOYMS' LIABILITY YIN ANYPR99PRIBT0RtPARTNERI£XCCUTIVd EL, EACH ACCIMNT_ 0 OPPICII AAMUReXCLVORM HIA (Mlnduory In NH) ,L, OISME - EA FMPLOYE S U as ceuama under . PT Ay OP OP T NSWa w C.L.p317A*E-POLICY VMIT i D98CRIPTION Or OPBru4TI4NG t LpCAT10N81 YENR;LEe (AG9RO Sep, AddHlen>af ArmerW 8ahtttulr, may be ttiattud tl trsoro ApRae t>< roQuhvdj 160 1049 ENOL 246 5520 20071Buzu 134 0303 2007 FrelghViner 3500 Boxttuck CERTIFICATE HOLDER CANCELLATION City of Ashland, Park and Recreation Commission AHOI/LD ANY OF THE ABOVE D$SCRIBBD POLICIES BE CANCELLED BEFORE 340 8 Pioneer Street THE EXPIRATION DATE THEREOF, NOTICE WILL Be DELIVERED IN Ashland, OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS. Attu; Susan Dytsteagard, Atirrlin Supervisor ADYK PRCBENTATIYG 01988-2014 ACORD CORPORATION. All rights reserved. AOORD 26 (2014101) The ACORD name and logo ars re tered marks of AOORD 10011488 132849.9 02-042014 ACCUR-2 OP ID: DR 1,05/20YYYY) ATE ,aco~za CERTIFICATE OF LIABILITY INSURANCE 0 D 01105/"x016 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 Phone: 541-779-0177 NAMEACT Insurance Marketplace, Inc. PHONE FAX _ 1998 Skypark Dr Suite 100 Fax: FAX 772-8235 Lc-No- EXt1:- A/C, Nom _ Medford, OR 97504 E-MAIL - - - T - i- - - - Insurance Marketplace Inc. ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Salf Corporation INSURED Accurate Plumbing Solutions INSURER B_: Inc dba: Barnes Plumbing - - -INSURER 711 Medford Center #211 c Medford, OR 97504 INSURER D : L_ 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. - - °n - F"OL buon _ POLICY tfF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH FDAMAGE TO OCCURRENCE $ RENTED - J I, -T COMMERCIAL GENERAL LIABILITY PREMISESLEa cccurrenceL-- f $ _ MED EXP (Any one person) $ _ ~ CLAIMS-MADE ~ . OCCUR 1 - _ - - PERSONAL & ADV INJURY - - GENERAL AGGREGATE $ l- _ -,S PER PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIE POLICY PRO- LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY ANY AUTO J a accident-- - I, BODILY INJURY (Per person) $ ~ ALL OWNED ' SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS I I-- Imo.. 1 PROPEIRTY DAMAGE D Is HIRED AUTOS _ $ UMBRELLA LIAB i,OCCUR ~I EACH OCCURRENCE - $ F E EXCESS LIAB JCLAIMS-MADE AGGREGATE $ DED RETENTION $ $ COMPENSATION WC STATU- 'OTH WORKERS YIN ❑ Ji TORY LIMITSJ- -LER J AND EMPLOYERS' LIABILITY - A ANY PROPRIETOR/PARTNER/EXECUTIVE 1731841 02101/2016 02/01/2017 E L. DISEASE D EMPLOYEE - EA OFFICER/MEMBER EXCLUDED? N!A i (Mandatory in NH) E L EACH ACCIDENT $ 1,000,000 $ 1,000,000 if yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT ' $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland, Park and THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Recreation Comm Susan AUTHORIZED REPRESENTATIVE 340 S. Pioneer St Insurance Marketplace Inc. Ashland, OR 97520 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Frorn:INSURANCE MARKETPLACE 10115!2015 14:55 31746 P.0061006 ACCUR-2 OP ID: DR CERTIFICATE OF LIABILITY INSURANCE 1 D 00110/18!201612015 15 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 pollcy(les) must be endorsed. It 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 confor rights to the certificate holder In lieu of such endorsement(s). CONTACT PRODUCrR Phone: 541-779-0177 NAME; insurance Marketplace, Inc. Erir _ H. = 1998 Skypark Dr Suite 100 Fax: FAX 772-8235 PHONE Medford, OR 97604 ADDRREES9: Insurance Marketplace Inc. INSURER(S) AFFORDING CQYERAGE NAJC µ INSURERA:Allied Insurance Group_____ 26093 INSURn Accurate Plumbing Solutions, -INSURER 0: Inc. dba: Barnes Plumbing INSURER C: 711 Medford Center #219 Medford, OR 97504 INSURERD: _ INSURER E: 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. I`TR R" A015 UB PO ICY EFF OLTC P ' TYPE OF INSURANCE POLICY NUMBER td1/JD UNITS 0911ERAL LIABXATY EACH OCCURRENCE $ 11000,06 A X GOWERCIALGENERAL LIAB!LITY X ACP7525B55625 1010212016 10102!2016 p°REN9SE5 EaoCtlxr~¢nA S 160,00 CLAINS4WE ClOCCUR - MEDEXP(AAyonemsU^.) S 10,00 PERSONAL 6 ADV INJURY $ 1,000,06 GENERAL AGGREGATE $ 2,600,06 G£_NLAGGREG_ ATE LIMIT APPLIES PER: - PRODUCTS • COMPIOP AGG b 2,000,00 POLICY PRO. LOC ' S AUTOMOBILE LIAB,LITY (Es aacd INEDMS1 LIMIT f ANYAUTO BODILY INJURY (Per pvsw) ALL OM, ED SCHEDULED BODILY INJURY (Per acaden') S AUTOS AUTOS T3ED AUTOS N014-OWNED PROPER3Y DAMAGE I; H - Per atcldenH S ULIBRELLA LIAB OCCUR EACH OCCURRENCE f EXCESS LIAR ( CLAIN_S_ 4AADE I AGGREGATE b _ DED RETENTIONS S WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS' LIABILITY YIN TORY Ll.1fY R ANY PROPRIETCR~PARTNEWEXECUnv. a NIA E.L. EACHACCIDENT S OFFICERRJEMaER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYE Hyyes, deembe undw DESCRIPTION) OF OPERATIONS b k- _ E.1_. DISEASE - POLICY I ILIIT S DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHSOLES (Attach ACORO 101, AdditlonlRemarks Schodule, if more space Is reQulred) additional insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland, Park and THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Recreation Commission 340 S Pioneer St AUTHORIZED REPRESENTATIVE Ashland, OR 97520 Insurance Marketplace Inc. 01988.2010 ACORD CORPORATION, Ail rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD From:INSURANCE MARKi✓Tf7LAC1 -.1 - 1011512015 14:55 H746 P.005/006 CG 72 68 1111 MEDIMPAYlI11MS palsy provided such failure to dlsdm ail SECTfa1t 111 -LIMITS flF fNSUEiANCI?, hazuvb or prior'ocasrer=e or offenses is not Urtontfotw). Tide provisbn does not Par~raph T. I5 r!}plaC2d: affect our right to collect additbnal premium 7. Sul ctto 6;'sttsove Ihehtgtltxof or exercise wr d& of oarcellatlcfr or rat- a. $io,000;or renewal- b. The amoud OiDwrr In the DeolarBtbom WAIVER OF SUBROtIATION for medicai,.t_qW" Limit to the most SECTION IV - GaMMEFIGIAL GENERAL we vAN pay under Dov6mge 0:1or d UABiL" CCNDITIONB, B. Trarmfor of Rlyhts medical wiperises becwze of `?bodily cl Et wvwy AquInsl Odwn to Us is amended injur susialned by or* person. to Include: This coverage does:nol If C Awage C - It reoldred by a verlifen contract executed Madlcet Payrrsanh:19 'sxcrudad 'ehher by the prior to loss, we walve ahy right of provtslom of arty GOb1 weforms attachw to ft subrogatlnn VM may have against ft poky-or by endorsement, oOn1r9Wrg person or orpnlzatlon because KNOWUM09:017AN OCCURFIENCE of payments we make for lfiwy or damage 8E01FIOt+t IV - COMMERCIAL , GENERAL arising out of your w *04 operMOnS Or IJABILITYCONDITIONSg The folkWrig Is added "your v+ork' tone under a oorllred wfM ihat to 2 Duties !n The Event Of Oar:unerrCO, person or organization and Included In the "P s'oompFeted operations hazards". , CWn Or Suit corofors: Ofim tr. Knowdarlkga of an'vccurrenaQ, oflanse, dalm 1lBt'RALlZAftODi or sA_ by sn srgerd or employee o1, any eECTM IV COMMERCIAL GENERAL ir>Wrad shah not to A W. consillAe UABiLrTY CONDITIONS, 10, Ubw0 ation Is ruravriedw of the' llrsured .unless pas, a.' added astollowss partrrar,- 9 you :and :a p2drrersh1p;;- or an, if vei revtae this coverage form to provide more execaAlve dilmr., or Insurewo. mar%pr, 11. coverage without additional premium charge, you area Corporallort receives such ndlos of your polay will autorna bcally provide the on ooaurrenoe, offense, Balm or sult from addNlonat coverage as of the day the revision Is i the agsntor employee. dfachve in your state. f. The requiremenls In ' Section IV BROADENED BODILY INJURY DMITIQN Condittans Pempmph 2.b. will not be (MMAL ANGUI$H) considered breached unless there Is SUMON V - 0SIC t MONS Is amended as kn w fmta of ocourrence as & lined In Wows, paragraph a above. 1, 3. TWIly injury" is deleted and reptace3d with 1JNlf(IW MNAL FAILURE TO WCLOM thetoifowing: HAZARD "eodily injury' means phystast in#ury, SECl10N IV COMMERCIAL aFNERAL clckno" or doom to a parson and, If LIABILITY CONDITION%:s: Regmentatforls rs arising out of the fcregolne, mental anguish, amended to IricludC., mergal Irl wy, shook or humliietkon, including d. Your telture to 6Wose all hazards or prior death at any time reaulring therefrom. renceg- or offenses existing as of the Inception date of the policy stall not prejudice the. covarega afforded: by this Antarm ,,md condhione,of this potloy appty untme modttled by thin cadoresmont. Pepe 4 of 4 n*dee copyrigNed matertal`oi insurance 6ervioes Q%w, in, ca 72 BB 1111 with ho parmisak n j Page 1 ASHLAND PARK COMMISSION 20 E MAIN ST DPo NUMBER . ASHLAND, OR 97520 00531 (541) 488-5300 VENDOR: 004712 SHIP TO: ACCURATE PLUMBING SOLUTIONS 711 MEDFORD CENTER PMB 211 MEDFORD, OR 97504 FOB Point: Req. No.: Terms: net Dept.: Req. Del. Date: Contact: Bruce Dickens Special Inst: Confirming? No Quantity Unit Description Unit Price Ext. Price Install drinkinq fountain at Hunter 477.00 Park Daniel Meyer Pool Contract for Goods and Services Beqnninq date: 01/11/2016 Completion date: 01/22/2016 i SUBTOTAL 477.00 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 477.00 Account Number Project Number Amount Account Number Project Number Amount E 211.12.02.06.60211 477.00 A horized Signature VENDOR COPY FORM CITY OF ASHLAND REQUISITION Date of request: 12/29/15 Required date for delivery: 1/8/16 Vendor Name Accurate Plumbing, Attn: Bob Sousa Address, City, State, Zip Contact Name & Telephone Number 711 Medford Center PMB 211, Medford OR 97504 Fax Number Tel: 541-773-3035 Email: apsinc Ip umb a0gmai! com 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 uote or proposal attached ❑ Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon FY 15-16 ❑ Direct Award Date approved by Council Contract # ❑ Verbal/Written quote(s) or proposal(s) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract $5,000 to $100,000 ❑ Written quote or proposal attached Agency ® (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract # PERSONAL SERVICES El Special Procurement Intergovernmental Agreement $5,000 to $75,000 ❑ Agency ❑ Form #9, Request for Approval ❑ Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council: ❑ (3) Written proposals/written solicitation Date approved by Council: (Date) ❑ Form #4, Personal Services $5K to $75K Valid until: Date Description of SERVICES Total Cost Install drinking fountain at Hunter Park Daniel Meyer Pool. $ 477.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ® Per attached quotelproposal $ 477.00 Project Number _ _ _ _ _ _ - _ _ _ Account Number _ _ 211 - _ 12 - _02_ 06 - _ 602118 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, 1 certify that the City's public contracting requirements have been satisfied. Employee:, Department Head: (Equal to or greater than $5,000) Department Manager/Supervisor: City Administrator: (Equal to or greater than $25,000) Funds appropriated for current fiscal year: YES / NO Finance Director (Equal to or greater than $$5,000) Date Comments: Form #3 - Requisition