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HomeMy WebLinkAbout2016-231 Contract - H&S Appraisal Contract for GOODS AND SERVICES Small Procurement Less than $5,000 C IT Y OF INDEPENDENT CONTRACTOR: H&S Appraisal LLC ASHLAND CONTACT: Thomas Harris 20 East Main Street ADDRESS: 6187 SW Jaguar Avenue Ashland. Oregon 97520 Telephone: 5411488-6002 ~ Redmond, OR 97756 Fax: 541/488-5311 TELEPHONE: FAX: i BEGINNING DATE: 08i0Zf2016 COMPLETION DATE: 09=30,2016 - - - - - COMPENSATION: not to exceed $4,500.00 GOODS AND SERVICES TO BE PROVIDED, Perform a standard ODOT format Taking and Damages appraisal for the IPCO property in relation to the Washington St. extension project. The appraisal will be written to correspond with Oregon Department of Transportation (ODOT) rules, regulations and all applicable Oregon laws. 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 interpreted 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 m eal 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, 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 279B.220. 2798125, 279B.230, 2798.235, 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, € 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. , 111 Use of Recyclable Products: Contractor shall use recyclable products to tt-e maximum extent economically feasible in the performance of the contract work set forth in this document. i 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. 13. Insurance. Contractor shall at its own expense provide the following insurance: 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. Workers compensation insurance is required if work is performed by employees. subcontractors, or volunteers. BY INITIALING THIS SENTENCE, CONTRACTOR CERTIFIES UNDER PENAL F 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 15. THIS CONTRACT AND ATTACHED EXHIBITS CONSTI"rUTE THE ENTIRE AGREEMENT BETWEEN THE PARTIES. NO WAIVER. CONSENT, MODIFICATION OR CHANGE OF TEWvIS OF THIS CONTRACT SHALL BIND EITHER PARTY UNLESS IN WRITING AND SIGNED BY BOTH PARTIES. Certification. Contractor shall sign the cW'atfon attached hereto as Exhibit A and herein incorporated by eference_ Contractc~. City of Ashland: By ~Y By Sigma e Qepartment Head t r Print Name Print Name Title ate W-9 One copy of a W-9 is to be submitted with the signed contract Put-chase Order NO. - - - Rc%is, d 10-28.1•1 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. f~ (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. Pa Contractor (Date) Revised 10-28-14 Page 2 of 2 CERTIFICATE OF LIABILITY INSURANCE DA 08/02/201x6 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS OREP 6760 Insurance Services CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE 6760 University Ave #250 COVERAGE AFFORDED BY THE POLICIES BELOW. San Diego CA 92115 Phone 619-269-3882 Fax 619-704-0567 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Lexington Insurance Company H&S Appraisal, LLC INSURER R Thomas R. Harris INSURER C: P.O. Box 1 197 INSURER D: Redmond, OR 97756 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR DATE MM/DD/YY DATE MM/DD/YY GENERAL LIABILITY EACH OCCURENCE $ El ❑ COMMERICAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE ❑ OCCUR PREMISES Ea occurrence MED EXP (Any one person) $ F-1 PERSONAL & ADV INJURY $ El GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/O°AGG $ ❑ POLICY F1 PROJECT F] LOC INE ❑ AUTOMOBILE LIABILITY COMBO cD SINGLE LIMIT $ F-1 ANY AUTO (Each ❑ ALL OWNED AUTOS BODILY INJURY $ ❑ SCHEDULED AUTOS (Per person) ❑ HIRED AUTOS BODILY INJURY $ ❑ NON-OWNED AUTOS (Per accident) ❑ PROPERTY DAMAGE $ ❑ (Per accident) ❑ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ❑ ANY AUTO OTHER THAN EA ACC $ ❑ AUTO ONLY: AGG $ ❑ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ ❑ OCCUR ❑ CLAIMS MADE AGGREGATE $ ❑ DEDUCTIBLE $ El RETENTION $ ❑ WORKERS COMPENSATION AND WC STATU OTH- EMPLOYERS' LIABILITY ❑ TORY LIMITS ❑ ER ANY PROPRIETOR/PARTNER/EXECU- E.L. EACH ACCIDENT $ TIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ A ® OTHER 018390980-03 11/27/2015 11/27/2016 Per Claim $1,000,000 Errors and Omissions Claims Made Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Real Estate Appraisals The City of Ashland and their affiliates, subsidiaries, employees, and agents is listed as additional insured to the policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE The City of Ashland EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO 20 East Main Street MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Ashland, OR 97520 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. [!D:aVid RIZED REPRESENTATIVE Brauner ACORD 25 (2001/08) © ACORD CORPORATION 1988 Policy Nbr: AA4269824 Page 1 COUNTRY Financial COUNTRY Mutual Insurance Company P.O. Box 14151 AUTO INSURANCE CHANGE AUTHORIZATION Salem, Oregon 97309-5069 PREFERRED CBR Cd: 2 Change Authorization Print Date: 08/10/16 HARRIS THOMAS R & JUDY K Req Eff Dt 08/10/16 Agent# 19750 PO BOX 1197 Policy St OR INS OFF# 006 Ins Off St OR REDMOND OR Policy Term Semiannual ACCT# 9569110 97756-0225 Billing Frequency Monthly AMP Phone Number (541) 388-4432 Farm Bureau# 9842 Household Driver information Name THOMAS R HARRIS Rel Marketing Contact DOB 08/16/1942 Sex M Marital status M Name JUDY K HARRIS Rei marketing contact DOB 03/06/1946 Sex F Marital status M vehicle Description and use Unit 001 2005 DODGE RAM PI Vin 3D7K528C55G760592 Truck(1 Ton & Under) Rate Class A47F Rate Level D Terr 005 zip 97756 Unit 002 2001 FORD EXCRSN Vin 1FMSU43F11EB75460 Car,Jeep Rate Class A81A Rate Level D Terr 005 zip 97756 Unit 003 1990 NISSA 300ZX vin JN1RZ24A7LX009241 Car,Jeep Rate Class A81A Rate Level D Terr 005 zip 97756 DELETED VEHICLE Unit 004 1998 BUICK LESABR vin 1G4HP52K3WH473875 Car,Jeep Rate Class A81A Rate Level D Terr 005 zip 97756 11001OR (03-01/16) Policy Nbr: AA4269824 Page 2 Coverages, Limits, Discounts And Premiums 2005DODGE 2001FORD 1990NISSA 1998BUICK VEHICLE COVERAGE LIMITS PREMIUM PREMIUM DELETED PREMIUM BODILY INJURY Each Person 250,000 Each occurrence 5009000 278.01 208.03 166.42 PROPERTY DAMAGE Each occurrence 100,000 INCL INCL INCL UNINSURED MOTORIST Each Person 250,000 Each occurrence 500,000 38.33 38.33 38.33 UNDERINSURED MOTORISTS Each Person 250,000 Each occurrence 500,000 PERSONAL INJURY PROTECT/D BASIC N 41.53 38.85 38.85 DEATH BENEFIT 5,000 1.04 1.04 1.04 COLLISION-ACTUAL CASH VALUE Less Deductible 500 163.49 103.46 COMPREHENSIVE-ACTUAL CASH VALUE Less Deductible 250 76.47 55.14 ROAD SERVICE 5.20 5.20 5.20 ENDORSEMENTS 004 ADDITIONAL INSURED 3.12 049 UMPD/UIPD 6. 6.24 6.24 semiannual vehicle Premium 613.43 456.29 256.08 The vehicle Premium Has Already Been Changed By The Following: MULTI-CAR DISCOUNT Yes Yes Yes GOOD DRIVER DISCOUNT Yes Yes Yes MULTI-POLICY DISCOUNT Yes Yes Yes SemiAnnual Premium For All units $1325.80 Monthly AMP Billing Premium For All units $220.97 (ADDITIONAL SERVICE CHARGES WILL APPLY) Not Appl i cable To This vehicle. Lienholder, Certificate Holder, Titleholder Unit# Name And Mailing Address Loan# or Lease#/Lien Type 001 OREGON DEPT OF JUSTICE Certificate TRIAL DIVISION 1162 COURT ST NE SALEM OR 97301-4096 001 UNIVERSAL FIELD SERVICES INC Certificate PO Box 35666 TULSA OK 74153 001 STATE OF OREGON Certificate DEPT OF TRANSPOTATION 4040 FAIRVIEW INDUSTRIAL DR SE MS 2 . Policy Nbr: AA4269824 Page 3 Li enhol de r , Certificate Holder, Titleholder SALEM OR 97302 001 OREGON TRANS COMMISSION Certificate AND ITS MEMBERS 4040 FAIRVIEW INDUSTRIAL DR SE MS 2 SALEM OR 97302 001 ORE DEPT OF TRANSPORTATION Certificate OFFICERS AGENTS AND EMPLOYEES 4040 FAIRVIEW INDUSTRIAL DR SE MS 2 OR 973 001 CITY OF ASHLAND Ce tificate 20 EAST MAIN STREET ASHLAND OR 97520 1 Pe tAutjlorizih~ o Change Date Time AM M Purchase Order Fiscal Year 2017 Page: 1 of: 1 WAS& - - =Q== ER B City of Ashland - I ATTN: Accounts Payable L 20 E. Main Purchase 122 L Ashland, OR 97520 Order # T Phone: 541/552-2010 O Email: payable@ashland.or.us V H C/O Public Works Department E H & S APPRAISAL LLC I 51 Winburn Way N 6187 SW JAGUAR AVE p Ashland, OR 97520 D REDMOND, OR 97756 Phone: 541/488-5347 R T Fax: 541/488-6006 R O Vern 6EERK J 3/50 0 t = _ _ _ 541 385-6000 Michael Fau ht 08/24/2016 1018 FOB ASHLAND OR City Accounts Payable Ru MOM ODOT Appraisal IPCO Property 1 Perform a standard ODOT format Taking and Damages appraisal 1.0 $4,500.0000 $4,500.00 for the IPCO property in relation to the Washington Street extension project. Appraisal to be written in accordance with ODOT rules, regulations and all applicable Oregon laws. Project #2013-25 Contract for Goods and Services Small Procurement Less than $5,000 Beginning date: 08/02/2016 Completion date: 09/30/2016 GL Account: $4,500.00 GL SUMMARY 081200 - 704200 $4,500.00 HF. a By: Date: . Authorized Signature. $4,500.00 FO #3 CITY OF ASHLAND REQUISITION Date of request: 08/04/2016 Required date for delivery: ASAP Vendor Name Thomas Harris Address, City, State, Zip 6187 SW Jaguar Avenue Redmond, OR 97756 Contact Name & Telephone Number Thomas Harris Fax Number SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: ❑ Invitation to Bid (Copies on file) ❑ Form #13, Written findings and Authorization ❑ AMC 2.50 Date approved by Council: ❑ Written quote or proposal attached ❑ Written quote or proposal attached Attach co of council communication _ If council approval required, attach co of CC ❑ Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon Date approved by Council: ® Direct Award -(Attach copy of council communication) 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 ❑ 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 Perform a standard ODOT format Taking and Damages appraisal for the IPCO property in relatior,`to the Washington St. extension project. The appraisal will be written to correspond with $4,500 Oregon Department of Transportation (ODOT) rules, regulations and all applicable Oregon laws. Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ❑ Per attached quotelproposal $4,500 Project Number 2013-25 Account Number 260.08.12.00.704200 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: /T Director Date Support -Yes/ No By signing this requisition form, i certify that the City's public contracting requirements have been satisfied.; t, &MMO cml~ -Y Employee: - Department Head: (Equal to or greater than $5,000) Department Manager/Supervisor: City Administrator: (Equal to or greater than $25,000) t$ Funds appropriated for current fiscal year: YES' / NO Finance Director- (Equal to orgreatei(an $5,000) Date Comments: Form #3 - Requisition