HomeMy WebLinkAbout2016-148 Contract - Cutting Edge Restoration
Contract for GOODS AND SERVICES Less than $25,000
C I T Y OF CONTRACTOR: Cutting Edge Restoration
ASH LAND CONTACT: Dave Geigle
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 804 W 12th St. Medford, OR 97501
Telephone: 541/488-6002
Fax: 541/488-5311 TELEPHONE: (541) 326-6131
DATE AGREEMENT PREPARED: 6/3/16 FAX: heavensdoor7@icloud.com
BEGINNING DATE: 7/1/16 COMPLETION DATE: 8/1/16
COMPENSATION: Maximum $3608
GOODS AND SERVICES TO BE PROVIDED:
Contractor to perform annual power washing for City facilities, as described in Exhibit C (Proposal).
Contractor shall use the following Best Management Practices (BMPs) to minimize entrainment of pollutants into storm
drains:
All locations:
a) Water used for washing impervious surfaces shall be as cool as possible.
b) No soaps, detergents, or solvents may be used on impervious surfaces.
Awnings:
a) All storm drains that will receive runoff from wash water from must be lined with biobags (aka bark bags). Biobags
will be provided by City.
Parking Structure:
a) Contractor agrees to perform pressure washing activities during the dates of July 17-20, 2016, to ensure that
washing occurs shortly after City has swept the structure on July 13.
b) Storm drains in the parking structure shall be lined with biobags, and/or oil-only absorbent socks (City will make
determination when Notice to Proceed is issued). Biobags and socks will be provided by City.
Disposal:
Contractor shall dispose of biobags and oil absorbent socks. Neither item requires any special disposal practices,
handling, or processing, with the exception that they must not be water-saturated at the time of disposal.
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 27913.220, 279B.225, 27913.230, 2798.235, 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.
8. 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 part, effective upon delivery of
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 Cit all contract documents, information, works-in-progress and other property 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 alI 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, 11,000,000, $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 Damage,
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 b City of an 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. Nona ppropriations 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.
Contra o : City of Ashland
By By AGA-
ignatu Department He d
Print Name Print Name
L1101L I- cfp TIthe Date
W-9 One copy of a W-9 is to be submitted with
the signed contract. Purchase Order No.
EXHIBIT A
CERTI FI CATION &REPRESENTATION& 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) ( 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.
Contractor (Date)
CITY OF ASHLAND, OREGON
EXHIBIT B
City of Ashland
LIVING
WA E
per hour effective June 30, 2015
(Increases annually every June 30 by the
rim 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
^AS H LA N D
Contract for Goods and Services Less than $25,000, Revised 06/02/2015, Page 5 of 5
EXHIBIT C
Proposal City of Ashland Parking 05/16/16
Cutting Edge Restoration
CC13 Lic#194900
Dave Oeigle
(541) 326-6131
Kaylea Kathol, Project Manager
City of Ashland - Public Works/Engineering
51 Winburn Way, Ashland OR 97520
C: (541) 331-11441 0: (541) 552-2419
Scope of Work: I hereby propose to furnish all the materials and perform the labor necessary for
the completion of the following:
(1) Pressure Wash all Three Levels of Parking at the "City Of Ashland Public Parking Facility."
(2) Pressure Wash all Interior Parking Air Ducts
(3) Pressure Wash all Interior Parking Windows
(4) Pressure Wash all Interior Parking Light Fixtures
(5) Pressure Wash all Three Levels of the Exterior Stairway Corridor
(6) Pressure Wash all Three Levels of the Interior Stairway Corridor
(7) Pressure Clean Upper Level Awning
Note: Note all cleaning will be done between the hours of 11:00 P.M. to 7-Am; and will take four
to five nights. Work can be scheduled Sunday night to Thursday night to accommodate for
Shakespeare Theater Traffic. All the work is to be performed in a timely and substantial
workmanlike manner for the sum of:
Time, Labor, and Materials: 2,346.00
Respectfully Submitted, David Ceigle 5116116
The above prices, specs and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified.
Kaylea KathoI_ _ 05/16116
page 7 of 10
EXHIBIT C
Proposal City of Ashland Awnings 06/01/16
Cutting Edge Restoration
CCB Lic# 194900
Dave Geigle
(541) 326-6131
Kaylea Kathol, Project Manager
City of Ashland -Public Works/Engineering
51 Winburn Way, Ashland or 97520
C : (541) 331-1144 0: (541) 552-2419
Scope of Work: I hereby propose to furnish all the materials and perform the labor necessary
for the completion of the following:
(1) Clean all awnings in front of.Ashland City Hall building
(2) Clean Public Bike Rack Awnings
(3) Clean Awning at the City of Ashland Police Sub Hub
(4) Cleaning will consist of soft brush and light pressure wash
(5) All water drains will be bagged to protect water ways
(6) Side walks will be coned to insure safety.
Note: Cleaning will be done in the early morning hours when pedestrian traffic is minimal. All the
work is to be performed in a safe, timely, and substantial workmanlike manner for the sum of:
Time, Labor and Materials: $1262.00
Balance is Due on Completion
Respectfully Submitted, Dave Geigle 06/01/16
The above prices, specs, and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified.
Kaylea Kathol 06101/16
Exhibit D
CITY OF ASHLAND
WORKERS' COMPENSATION INSURANCE CERTIFICATION
CONTRACTOR MUST INITIAL APPLICABLE BLANK BELOW
CERTIFICATION OF COVERAGE:
Contractor will maintain Workers' Compensation insurance coverage for the term of the contract and will
provide Certificate of Workers' Compensation insurance before
Project Beginning Date.
CERTIFICATION OF EXEMP'T'ION FROM COVERAGE:
Contractor is exempt fi-om the requirement to obtain workers compensation insurance under ORS Chapter
656 for the following reason (initi(d the appropriate box).
SOLE PROPRIETOIZ
• Conlractor is a sole proprietor, and
• Contractor has no employees, and
• Contractor will not hire employees or subcontractors to perform this contract.
CORPORATION - FOR PROFIT
• Contractor's business is incorporated; and
• All employees of the corporation are officers and directors and have a substantial ownership interest* in the
corporation, and
• All work will bcperformcd by the officers and directors, Contractor will not hire other employees or subcontractors
to perform this contract.
CORPORATION - NONPROFIT
• Contractor's business is incorporated as a nonprofit corporation, and
• Contractor has no employees-, all work is performed by volunteers, and
• Contractor will not hire employees or subcontractors to perform this contract.
PARTNERSHIP
• Contractor is a partnership. and
• Contractor has no employees, and
• All work will be performed by the partners; Contractor will not hire employees or subcontractors to perform this
contract, and
• Contractor is not engaged in work performed in direct connection with the construction, alteration, repair, improvement, moving
or demolition of an improvement to real property or appurtenances
• thereto.**
LIMITED LIABILITY COMPANY
• Contractor is a limited liability company, and
• Contractor has no employees, and
• All work will be performed by the members; Contractor will not hire employees or subcontractors to perform this
contract, and
• If Contractor has more than one member. Contractor is not engaged in work performed in direct connection with the
ponstruchon, alteration, repair, improvement, moving or demolition of an improvement to real property or appurtenances
-fh reto,~ *
(Signature of
f thor ed Signer) (Date)
r' CAj
(Signer's itle)
Exhibit D
*NOTE: Under OAR 436-50-050 a shareholder has a "substantial ownership" interest if the shareholder owns 10% of the
corporation, or if less than 10% is owned, the shareholder has ownership that is at least equal to or greater than the average
percentage of ownership of all shareholders.
**NOTE: Under certain circumstances partnerships and limited liability companies can claim an exemption even when
performing construction work. The requirements for this exemption are complicated. Consult with City Attorney's Office
before an exemption request is accepted from a contractor who will perform construction work.
CUTTI-1 OP ID: GW
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)
0611312016
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: George Wheeler
The Insurance Center, Inc. PHONE FAX
240 West "C" Street (A/C No, Extj: 541-899-9535 (AIC, No): 541-899-9532
P O BOX 6 E-MAIL
ADDRESS:
Jacksonville, OR 97530
George Wheeler INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: Developers Surety & Indemnity
_ I
INSURED Cutting Edge Restoration INSURER B : Oregon Mutual Ins. 14907
David Geigl PO BOX 782e INSURER c
Jacksonville, OR 97530 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 PERIOC
INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERN" OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH Tt'14
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE I E_RMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR _ADDL'SUel _ POLICY EFF POLICY EXP l
LTR TYPE OF INSURANCE I POLICY NUMBER - (MMIDDIYYYYI (MMIDDfYYYYJ LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 500.00
CLAIMS-MADE X OCCUR X BIS00014725-04 01128/2016 0112812017 DAMAGE rc~ FtFNTEn 300,00
PRE~MIot S ,Ear r,rrerce't
MED EXP (Ary ~r u . 5,00
PERSONAL 3 ADV {1'jUPY 500,00
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE _ 1,000,000
POL CY PRO JEG T L OC PRODLCTS COMP CIP AGG a 1,000,00
OTHER
AUTOMOBILE LIABILITY COMBINED SINGLE LIMt I
'Ea acxyaerI;
B ANY AUTO AP703633 04/0112016 10/0112016 B001Y'NJURY ;Per e _Gr; S 50,00
AU OOS NED X SCHEDULED BOD1Y'NJURY P HiJq w 100,00 AUTOS
NON-OWNED PROPER IY DAMAGE 25 00
H!REDAUTJS A(I TC.S Per ac.,,erl _
UMBRELLA LIAB OCCUR E:Al,F- i)CCI:RRE NCE
EXCESS LIAB CLAIMS-MADE AGGREEGA i E
DED RETENTIONS
WORKERS COMPENSATION PER i2'
STATUTE ER I
AND EMPLOYERS' LIABILITY YIN 9
AN PROPP!ETCRIPARINFRIEXEC,SIiVE r--"`' E' E-ACI--ACCiUENI S
(31'F!CERIVEMBER EXCLUDED e I N I A
(Mandatory in NH) E L DISEASE EA EMPLOYEE
If yes cescrbe uncer
DESCRIPTION OF OPERATIONS nelow EL U!SEASE - POLICY LI'C'IT
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required)
City of Ashland is named Additional Insured
CERTIFICATE HOLDER CANCELLATION
CITYASH
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
,--e,
Attn: Bryn
AUTHORIZED REPRESENTATIVE
20 East Main St.
Ashland, OR 97520 George Wheeler
t188-2014)k D CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered mar'of ACORD
Page 1 1 1
CITY OF
~SHLAN T"j,J 1 DATE PO NUMBER
201 El MAIN ST. 6/17/2016 13571
WAL ASHLAND, OR 97520
A
(541) 488-5300
VENDOR: 015459 SHIP TO: Ashland Public Works
CUTTING EDGE RESTORATION (541) 488-5587
804 W 12TH ST 51 WINBURN WAY
MEDFORD, OR 97501 ASHLAND, OR 97520
FOB Point: Ashland, Oreqon Req. No.:
Terms: Net Dept.:
Req. Del. Date: Contact: Kalea Kathol
Special Inst: Confirming? No
Quantity Unit Description Unit Price Ext. Price
Contractor to perform annual pressure 3,608.00
washinq services at Parkinq Structure,
City Hall (awnings) and Contact Station
(awnings).
GOOD AND SERVICES CONTRACT LESS THAN
$25,000
BEGINNING 06/03/2016
COMPLETION 07/01/2016
SUBTOTAL 3,608.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 3,608.00
ASHLAND, OR 97520
Account Number Project Number Amount Account Number Project Number Amount
E 410.08.24.00.60240 E 000001,999 3,608.00
Auth rized Signature VENDOR COPY
CITY OF
^ASHLAND
NOTICE OF TRANSMITTAL
TO: Kari Olson DATE: 16-June-2016
PROJECT: Pressure Wash Parking Structure
JOB NO.: E 000001.999
SUBJECT: Requisition
THE FOLLOWING ITEMS ARE BEING SENT TO YOU:
(a) Executed contract with Cutting Edge Restoration
(b) Form 3 - PO Requisition
ENCLOSED r
UNDER SEPARATE COVER
REMARKS :
Contract ready for P0.
Department of Public Works
By: Kaylea Kathol
Title: Project Manager - Facilities
PUBLIC WORKS Tel: 541-488-5587
20 E. Main Street Fax: 541-488-6006 I '
Ashland, Ore on 97520 TTY: 800-735-2900
www.ashland.or.us r
FORM #3 CITY OF
ASHLAND
REQUISITION Date of request: 6/15/16
Required date for delivery: 6/24/16
Vendor Name Cutting Edge Restoration
Address, City, State, Zip 804 W 12th St. Medford, OR 97501
Contact Name & Telephone Number Dave Geigle (541) 326-6131
Fax Number heavensdoor7@icloud.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 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
Contractor to perform annual pressure washing services at Parking
Structure, City Hall (awnings) and Contact Station (awnings). $3608
Item # Quantity Unit Description of MATERIALS Unit Price Total Cost
XXX
xxx
xxx
TOTAL COST
® Per attached quote/proposal
Project Number E 000001.999 Account Number 410.08.24.00.602400
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 tl 'at the City's public `contracting requirements have been satisfied.
<L
Employee 'd _ v Department Head:
(Equal to or gre %ter t an $ '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