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HomeMy WebLinkAbout2016-103 Contract - Bugs Northwest Contract for GOODS AND SERVICES Small Procurement Less than $5,000 CITY OF INDEPENDENT CONTRACTOR: Bugs Northwest -AS H LAND CONTACT: Dave Mays 20 East Main Street ADDRESS: 551 SW G Street Ashland, Oregon 97520 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: 541-472-5003 FAX: 541-770-2920 BEGINNING DATE: 04/29/2016 COMPLETION DATE: 0512012016 COMPENSATION: 1,525 GOODS AND SERVICES TO BE PROVIDED: Treat for bugs as described for each location per quote attached exhibit C in the event of conflicts or discrepancies among Contract Documents, this standard form of the City of Ashland Contract will be primary and take precedence, and any exhibits or ancillary contracts or agreements having redundant or contrary provisions will be subordinate to and inte reted in a manner that will not conflict with this standard form 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 I 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. Ownership of Production: All documents, materials or items produced by Contractor pursuant to this contract shall be the property of City. 4. Statutory Requirements: ORS 2798.220, 279B.225, 279B.230, 2796.235, ORS Chapter 244 and ORS 670.600 are made part of this contract. 5. Indemnification: Contractor agrees to defend, indemnify and save City, its officers, employees and agents harmless from those losses, expenses, f or other damages resulting from injury to any person or damage to property arising out of or incident to the negligent performance of this contract by Contractor its employees, or agents. Contractor shall not be held responsible for any losses, expenses, or other damages, directly, solely, and proximately caused by the negligence of City. 6. Termination: City's Convenience. This contract may be terminated at any time by the City. 7, 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. 8. 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. 9. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an asbestos abatement license. 10. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work. j 4 11. 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. 12. 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. I 13. Insurance. Contractor shall at its own expense provide the following insurance: i a. 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. Worker's compensation insurance is required if work is performed by employees, subcontractors, or volunteers. BY INITIALING THIS SENTENCE, CONTRACTOR CERTIFIES UNDER PENALTY OF LAW THAT THE WORK REQUIRED BY THIS CONTRACT SHALL BE PERFORMED SOLELY BY THE UNDERSIGNED: b. General Liability insurance with-a combined single limit, or the equivalent, of not less than $1,000,000 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 $1,000,000 for each accident for Bodily Injury and Property Damage, including coverage for owned, hired or non-owned vehicles, as applicable. 14. Governing Law; Jurisdiction; Venue: This contract shall be governed and construed in accordance with the laws of the State of Oregon j 15. 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. Certification. Contractor shall sig he certification a a ed hereto as Exhibit A and herein incorporated by ref rence. Contr r. City of Ashland: n / By By rg ture Department Head Zrint Na e P int N me f- ~z8 ~ Title Date f W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order NO. I Revised 10-23-14 Page 1 of 2 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 1gbor o rvic t be provided. ontractor (Date Revised 10-2s-14 Page 2 of 2 Bugs WE& List of Service Addresses for City of Ashland, April 26, 2016 20 E Main St, City Hall---------treat interior and exterior perimeter for Gen Pests-------------------------- $150.00/per service 51 Winburn Way, Community Center-treat interior and exterior perimeter for Gen Pests--------------- $150.00/per service 1175 E Main St, Courts----------------- treat interior and exterior perimeter for Gen Pests--------------- $175.00/per service 455 Siskiyou Blvd, Fire Station #1------ treat interior and exterior perimeter for Gen Pests--------------- $150.00/per service 1155 E Main St, Police Station---------- treat interior and exterior perimeter for Gen Pests--------------- $225.00/per service 1860 Ashland St, Fire Station #2------- treat interior and exterior perimeter for Gen Pests--------------- $150.00/per service 90 S Mountain, Treat all locations for gen pests, as described Electrical Shop--------treat interior side of exterior walls, and exterior perimeter----$225.00 Maintenance Shop: treat interior side of exterior walls and exterior perimeter-------150.00 Electrical Storage: treat interior side of exterior walls, and exterior perimeter-----150.00 Small Shed-----------treat interior and exterior for gen pests no charge 541.472.5003 • 541.770.2920 551 SW "G" Street - Grants Pass, OR 97526 CCB# 200990 AG-L# 1028809 Apr 28 16 02:43p Bugs Northwest 5414721051 p.2 ACC) ® CERTIFICATE OF LIABILITY INSURANCE DATE 4128/2016 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. tf 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 LIPCA Inc NAME: CT LIPCA, Inc. PO Brno 80663 PHONE 927-3283 PAX 225) 927-3295 Baton Rouge, LA 70898 a Eft' (225) _____(A{cyNo)_t ADDRESS: _ INSURER(S) AFFORDING COVERAGE NAIC Ly INSURERA- Gemini Insurance Company 10833 INSURED Green Line Corporation INSURER 8: Bugs Northwest INSURER C: 551 SVV G St Grants Pass, OR 97526 INSURER o INSURER E: - INSURER F : COVERAGES CERTIFICATE NUMBER: 67337 REVISION NUMBER: 20160428 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIVITHSTAN DING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTTH 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 A UL U R!, _ POLICY EFF POLICY EXP LIMITS LTR IN R M POUCY NUMBER MDf1DD/ 'YYY MMrDD/YYYY GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 i DA1tAGE 'D tVCOMMERCIAL GENERAL LIABILITY FFENTtD CLA I PREMISES Ea occurrence 1 00,000 IM S-MADE OCCUR LGL0000759 02 911012015 911012016 MED EXP fAny Orie person; S 5,000 A udiD! A 1,000 PERSONAL 8 ADV INJURY _ $ 1,000,000 i G_ENERALAG_GREGATE $ 1,000,000 GEN-L AGGREGATE LIMIT APPLIES PER- PRODUCTS - CODAPIOP AGG $ 1,000,000 I_ ✓ POLICY jRO LOC $ C F COMBINED SINGLE LIMIT AUTOrlJOB1tELIABELITY fEaaccicer_r.)_ _ $ _ ANYauro 90DILY INJURY (Per parson; S ALL OWNED SCHEDULED 30DILY INJURY (Per axiden-) 3 AUTOS AUTOS r NON-OWNcU PROPERTY 0.WAGE S HIRED AUTOS AUTOS I S UMBRELLA LIAS OCCUR EACH OCCURRENCE S r yEXCESSLIAB CLAIMS~JIADE AGGREGATE S 'J I DEC I' RETENTIONS ~ WORKERS COMPENSATfON II OT' AND EMPLOYERS' UABIUTY PER STATUTFR__ ANY PROPRIETORIPARTKCF;UFXECUTIVE Y~ E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) [L: DISEASE _EA EMPLOYE S If yes, =escribc under DESCRIPTION OF OPERATIONS bolo- E.L. DISEASE - POLICY LIMIT S i DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached K more space Is required) CERTIFICATE HOLDER CANCELLATION City of Ashland 20 E. Main St SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ashland, OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2094101) ©1988-2014 ORD C RPOR ION. All rights reserved. The ACORD name and logo are registered marks of ACORD Apr 28 16 03:28p Bugs Northwest 5414721051 p.2 11/02/2015 MON 14:32 FAX 5414746632 6iskiyou Ina- U00L/001 saifcorporatfon information Page Carrier No: 20001 Policy No,, 747737 Employer IdePltiliostlon No: 46-3624063 MCCI Risk Its No: 361161750 Item 1. The Insured: Entity Type: GREEN LINE CORPORATION CORPORATION Mailing addreas: Agency: GREEN LINE CORPORATION SISKIYOU ENS MARKETPLACE (GRAN DBA: BUGS NORTH WEST SISKIYOU INS MARKETPLACE INC 551 SW G ST PO BOX 688 GRANTS PASS. OR 97526-2472 GRANTS PASS. OR 97526 Other workptwee not shown above: GREEN LINE CORPORATION 551 SW G ST, GRANTS PASS, OR 97526-2472 BUGS NORTH WEST Item 2. The policy period Is from 04-01-2015, 12:01 A.M. to 44-01-2016, 12:01 A.M. at the insured's mawng address Item 3. A. Workers Compensation Insurance: Pan One of the policy applies to the Workers Corrtpensation Law of the status listed here: OREGON B. Employers lilablllty Insurance: Part Two of the policy applies to work in each state listed in Item 3.A. The limits of our liability under Part Two are: Sodily injwy by Accident $500,000 each accident Bodily Injury by Oisease $500,000 each employee Bodily Injury by Disease $500.000 poilcy ilmit C, Other States Insurance: Part Three of the policy applies to the states, If any, listed here: NONE D. This policy Inctudes these endorsements and schedules: WC 360601 E Oregon Cancellation Endorsement W0000421 D Catastrophe (her then Ceni6ed Acts of Terrorism) Premium End W00004225 Terrorism Risk Insurance Prog Reauthorization Act Disclosure End WC000414 Notification of Change in Ownership Endorsement WC000406A Prernkim Discount Endorsemem WC9904020 Churn Rating Plan Endorsemerv WC360406 Premium Due Date Endorsomerx WC990309C SAIFPIus Endorsement WC990602 Subject Oftrtcer Payroll Requirernent - Corporation WC360301 Oregon Unsafe Equipment Exclusion Endorsemeni WC990816 Confidentiality Endorsement Item 4. The premium for this polity will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. The premium and rates and the experience rating modification factor, It any, may change on your anniversary feting date of 04-01-2016. AN Information required below Is subject to verification and change by audit. I Apr 28 16 03:58p Bugs Northwest 5414721051 p.2 AUTO INSURANCE DECLARATIOI P* COUNTRY Mutual Insurance Company= P.O. box 14151. Salem. Cregon 97309-5069 Preferred Plan POLICY NUMBER POLICY TERM PAYMENT PLAN NS. OFFiCEJAGENT A36A4937883 , 6 MONTHS SEMI-ANNUAL I 36003 SOREG r 05 571 To report a claim or for roadside assistance any ACCOUNT NUMBER 9988087-001-00001 time day or night, call 1-866-COUNTRY(; -866-268-6879) Policy period beginning Apr 11, 2016 INSURED 12:0- a.m. standard time at your address ending Oct 11, 2016 12:00 a.m. MAYS DAVID ADAM & KRISTINA MA 225 LINCOLN RD Declarations reasons: GRANTS PASS OR 97526-5834 AMENDA REISSUE POL'.C" RENE NEV`JAL Effective Apr 11, 2016 12:01 a. m. standard time at your address. Your policy consists of the policy booklet, applications, declarations pages and any endorsements Please keep them together. 0000 0000 TOTAL PREMIUM $1,970.27 'JEHIGLL VLrncLe. USE A\D DRIVER IVFORPAA'f:Ota 2004 FORD A84765 TRUCK 1 TON AND UNDER, BUSINESS, MALE, 30-64 2009 FORD 871843 TRUCK i TON AND UNDER, PLEASURE, FEMALE, 30-64 2009 FORD A51076 TRUCK 1 TON AND UNDER, PLEASURE, FEMALE,30-64 2009 FORD A54631 TRUCK 1 TON AND UNDER. PLEASURE, FEMALE, 30-64 POLICY COVERAGE LIMITS EACH PERSON EACH OCCURRENCE LIABILITY-BODILY INJURY 250,000 500,000 PROPER T Y DAMAGE - 100,000 UNINSURED MOTORISTS 250,000 500,000 UNDERINSURED PAOTCRISTS 250,000 500,000 2CC4 FORD 2009 FORD I 2009 FORD ! 2009 FORD Terr 005 + Terr 005 Terr 005 Terr 005 VEHICLE COVERAGE LIMITS PERSONAL INJURY PF.CT=CT EACH PERSON 100,000 100.000 100,000 1 CO, 000 COLLISION - ACTUAL CASH VALUE LESS DIED 500 500 500 ACC COMPREHENSIVE - ACTUAL CASH VALUE LESS DEC 250 253 250 250 ROAD SERVICE * YES ENDORSEMENTS UNINSURED MOTORISTS PROPERTY DAMAGE COV YES YES YES YES AMENDATORY END-OR YES YES YES YES SAFETY GLASS FULL COV YES YES YES YES PREMIUMS LIABILITY-BOCILY INJURY 277.34 175.46 175.46 175.46 PROPERTY DAMAGE included included included included UNINSURED MOTORISTS 36.86 35.86 36.86 36 86 UNDERINSURED MOTORISTS included included included included PERSONAL fNJURY PROTECT 112.31 6256 66.46 66.46 COLLISION 110.57 109.24 100.61 100.61 COP41PREHENSIVE 74.82 66.63 I 59.92 59.92 ROAD SERVIC= 5.00 FOR SERVICE CALL YOUR FINANCIAL REPRESENTATIVE DEBBRA DEFENSKI AT (541)479.0362 11302OR (00-09;04) INSURED'S COPY PagE Page 1 / 1 CITY OF AS H Y D DATE PO NUMBER 20 E MAIN ST. 4/29/2016 13501 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 018942 SHIP TO: Ashland Building Maintenance BUGS NORTHWEST, GREENLINE CORP (DBA) (541) 488-5358 551 SW G STREET 90 N MOUNTAIN AVENUE GRANTS PASS, OR 97526 ASHLAND, OR 97520 FOB Point: Ashland, Oreqon Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: WES HOADLEY Special Inst: Confirming? NO Quantity Unit Description Unit Price Ext. Price TREAT INTERIOR AND EXTERIOR AREA FOR 1,525.00 PESTS AT VARIOUS CITY BUILDINGS SPRING 2016 CONTRACT FOR GOODS AND SERVICES SMALL PROCUREMENT LESS THAN 5K BEGINNING DATE- 04/29/16 COMPLETION DATE- 05/20/16 SUBTOTAL 1,525.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 1,525.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 410.08.24.00.70420 1,525.00 Auth ed Signaturk VENDOR COPY FORM#3 CITY OF ASHLAND REQUISITION Date of request: 04/28/2016 Required date for delivery: Vendor Name BL!g,; Nnahwp.ct Address, City, State, Zip 551 SW G ST Grants Pass OR Contact Name & Telephone Number Dave Mayes 541-472-5003 Fax Number 541-770-2920 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 E] 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 Treat interior and Exterior area for pests Spring 2016 $1525 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ® Per attached quote/proposal $ Project Number _ Account Number 41 0- 08-2 4-0 0- 7 0 4 2 0 0 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. n' 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- (Equaito or greater than 55,000) Date Comments: Form #3 - Requisition