Loading...
HomeMy WebLinkAbout2016-240 Contract - Squeeky Clean Window & Exterior Cleaning Contract for GOODS AND SERVICES Less than $25,000 CITY OF CONTRACTOR: Squeeky Clean Window & Exterior Cleaning, ASHLAND Inc. 20 East Main Street CONTACT: Kiva Schreiber Ashland, Oregon 97520 Telephone: 541/488-6002 ADDRESS: PO Box 256, Talent, OR 97540 Fax: 541/488-5311 TELEPHONE: (541) 646-5081 DATE AGREEMENT PREPARED: 8112/16 EMAIL: squeekycleanwc@gmaii.com BEGINNING DATE: 8/26/16 COMPLETION DATE: 10/31/16 COMPENSATION: $2095 (includes $50 for potentially unavailable water source at City Hall) GOODS AND SERVICES TO BE PROVIDED: Contractor to provide window cleaning services per proposal (Exhibit C), including, as specified in proposal, cleaning the top and bottom of the front door overhang at Community Development, the exterior screens at Service Center, and the interior bay windows at both fire stations. 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 primary City of Ashland Contract. Contractor is permitted to subcontract window cleaning services described in the proposal providing the contractor submits documentation of the subcontractors' insurance and business license to the City for approval which the City will not unreasonably withhold. 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, 2798.225, 27913.230, 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 $20,283.20 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 b Contractor to perform work or services attendant to this Contract for Goods and Services Less than $25,000, Page 1 of 6 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. L 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. Mon-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: Contract for Goods and Services Less than $25,000, Page 2 of 6 a. Worker's Compensation insurance in compliance with ORS 658.017, 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 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, excluding Workers' Compensation, 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. Contract for Goods and Services Less than $25,000, Page 3 of 6 Contra or: City of Ashland B By nature Departmen Head / V11 SC 17c/2, & z, Lam Ld Print Name Print Name _-7 PLcf Title Date W-9 One copy of a W-9 is to be submitted with / the signed contract. Purchase Order No. (p Contract for Goods and Services Less than $25,000, Page 4 of 6 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 C 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. '~7 Z'1/Z '22e 6- Con ractor, (Date) Contract for Goods and Services Less than $25,000, Page 5 of 6 CITY OF ASHLAND., OREGON EXHIBIT B hlan~d C"Ity of As LIVING W A F= • er hour effective June 30, 2016 (Increases annually every June 30 by the 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. )0. For all hours worked under a business from the City of service contract between their Ashland in excess of r Note: "Employeep does not employer and the City of $20,283.20. include temporary or part-time Ashland if the contract employees hired for less than exceeds $20,283.20 or more. If their employer is the City of 1040 hours in any twelve- y 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, Page 6 of 6 EXHBIT C Squeeky Clean Window & Exterior Cleaning Inc. PO Box 256 Talent, OR 97540 'M (541)646-5081 1 squeekycleanwcC@gmail.com Medfordwindowcleaning.com ADDRESS r ` Kaylea Kathol = H City of Ashland - Public r y Works/Engineering 51 Winburn Way Ashland OR 97520 a Services 0.00 These buildings are all located in the City of Ashland, and are for Exterior Window Cleaning of the building perimeter windows. No skylight, screen, or window cleaning inside the perimeter are included unless specified. Thank you. Window Cleaning Exterior 200.00 City Hall 20 East Main St. NOTE: this price is based on easily accessible water on the exterior of the building. If water access is inside, or difficult, there could be up to a $50 charge. Window Cleaning Exterior 25.00 Satellite Police Station 40 N. Main St. Window Cleaning Exterior 250.00 Community Development 51 Windburn Way NOTE: If you would like the Overhead entry horizontal windows cleaned directly above the entry we could offer the following options. Top of the exterior outside windows $25, top of the interior inside windows $25, underside $10 each. Window Cleaning Exterior 75.00 Ashland Police Station 115 East Main St. NOTE: I would need to have preclearance to access the windows in the fenced area . Window Cleaning Exterior 50.00 Courthouse 1175 East Main St. Window Cleaning Exterior 100.00 The Grove 1195 East Main St. Window Cleaning Exterior 200.00 N. Mountain Service Center (3 buildings) 90 N. Mountain Ave. NOTE: We could deep clean the exterior screens for $50. This will keep the windows cleaner when it begins to rain Window Cleaning Exterior 375.00 Fire Station 1 455 Siskiyou Blvd NOTE: This is for all the windows EXCEPT for the 8 bay doors Window Cleaning Exterior 125.00 Fire Station 1 455 Siskiyou Blvd This is for ONLY the 8 bay doors NOTE: We could also clean the inside of the 8 bay doors as well for additional $125 Window Cleaning Exterior 250.00 Fire Station 2 1860 Ashland St. This is for all the windows EXCEPT for the 3 bay doors Window Cleaning Exterior 75.00 Fire Station 2 1860 Ashland St This is for ONLY the 3 bay doors. NOTE: We could also clean the inside of the 3 bay doors as well for additional $75 Please Note: This estimate is for a maintenance cleaning only and does not include the removal of construction debris such as paint or caulk, or the removal of staining caused by hard water or building runoff. After completion of the maintenance cleaning, we can let you know if we found any of these and discuss how they might best be cared for. 4M 47 N ~ ~ { 3 a ~+H ¢ v ~~♦3i~r 2 t, of 'd Terms and Conditions Commercial Cleaning 0.00 This estimate is for maintenance window cleaning only, and does not include the removal of construction debris such as paint, caulking, etc or the removal of hardwater staining. Availability 0.00 As of today, depending on when we receive approval, we would be able to begin cleaning the week of September 5th. Customer Testimonials 0.00 "Kiva Schreiber and Squeeky Clean have done the interior and exterior window cleaning on our new medical office building several times. Kiva is always quick to respond to my request for cleaning, often getting it done within days of my call. His work is outstanding. Not only does he clean the windows but also cleans the framing and molding around the windows. Our lobby windows are floor to ceiling and are crystal clear with Kiva's attention to detail. I highly recommend Squeeky Clean for window and exterior cleaning. Please contact me if you have any questions." Janney Mari n-Administrator, Oregon Ear, Nose and Throat Center "We hired Squeeky Clean to wash all our school windows, screens, and skylights before the start of the school year and couldn't have been more pleased with their work. The whole school seemed to sparkle after they were done, and Kiva and his crew were a pleasure to work with: thorough, efficient, discreet, and willing to work with us around cost. We'd hire them back in a minute! Catherine Razi -Administrator, The Siskiyou School, Ashland We look forward to the opportunity to clean for you. Kiva Schreiber Southern Oregon's Most Trusted Window & Exterior Cleaner U19mi I'NES= Accepted By Accepted Date Please Note: This estimate is for a maintenance cleaning only and does not include the removal of construction debris such as paint or caulk, or the removal of staining caused by hard water or building runoff. After completion of the maintenance cleaning, we can let you know if we found any of these and discuss how they might best be cared for. ACORa CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 16441~ 06/24/2016 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. 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 endorsements . PRODUCER Hecht & Hecht Insurance Agency Inc. CONTACT Phil Brus NAME 425 NE Hancock St. PHONE (503)542-1130 FAX (503)288-6374 First Floor E-MAIL ESS: philip@hechtins.com A DR Portland OR 97212- INSURERS AFFORDING COVERAGE NAIC # INSURER A :The Ohio Casualty Insurance Company INSURED INSURER B : Squeeky Clean Window & Exterior Cleaning, Inc. INSURER C : PO BOX 256 INSURER D : Talent OR 97540- 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 1MTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY 6K055645812 8/12/2016 8/12/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DPREMISES (Ea occurrence) AMAGE TO RENTED $ 1,004,000 MED EXP A one person) $ 15,DOO PERSONAL & ADV INJURY $ 1 ,000,040 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ❑ PRODUCTS - COMP/OP AGG $ 2,DDO,OW X ❑ POLICY PRO- LOC JECT $ OTHER- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Pa 2cciden~ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per acciden~ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ RETENTION IDED $ WORKERS COMPENSATION PER OTH-ISTATL AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION F OPERATIONS below E.L. DISEASE - POLICY LIMIT $ i I I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is recognized as an additonal insured. CERTIFICATE HOLDER CANCELLATION A1004743 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. 20 East Main Street Ashland OR 97520- AUTHORIZED REPRESENTATIVE I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD MMONYYY) ,~►c r ~ CERTIFICATE OF LIABILITY INSURANCE o811/1 W srz oAT 01 6 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 BELLOW. 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 pot cy(ies) must have ADDITIONAL INSURED provistorts or 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 endorsements . PRODUCER ~tACT Juan lbarra StateFOIA M Russ VWmrner Ins. Agency Inc. PRONE EXt}:541-776-7877 FAX Nol: 541-776-3299 2936 E Barnnett Rd Suite 101 ADDS: i'lan.ibarro.kwx8@swtefarrn.com Medford, OR 97504 INSIURIERM AFFOM NGCOVERAGE NAIC # INSWERA: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B : Squeeky Clean W & EC Inc & Schreiber, Kiva & Heather INSURER C : PO BOX 256 INSURER D : Talent, OR 97540 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 REOUIREMIENT, TERM OR CONDITM OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS GERTIFICATE 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 AODL SUBRt POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE MHO POLI& MUMBER NYYY) t]nmff cOMJMERCJAL GMRAL UAB0JTY EACH OCCURRENCE S CANSMADE 171 TED >6 OCCUR PREMISES Ea occurr ce MED EXP one person) i i i I PERSONAL & ADV INJURY S GEITL AGGREGATE LIMIT APPLIES PER: I1 GENERAL AGGREGATE $ POLICY FI JPE ~ 11 LOC ' PRODUCTS - COMPIOP AGG S ! I $ OTHER AUTOMOENLE LIAMTY Y 319 't173-A23 3?A 07/2312016 - 01J2=W7 COMMED SINGLE LwnT S JES accident ANY ALTTO I r I _ BODILY INJURY (Per person) S 300,00() A OWNED SCHEDULED I ! BODILY INJURY (Per acddenq S 300,000 AUTOS ONLY AUTOS ! HIRED NON-OVV ED , PROPERTYDAMAGE s 100,000 AUTOS ONLY AUTOS ONLY Per accident) UMBRELLA LfAI3 OCCUR EACH OCCURRENCE E I EXCESS LIAB HCLA*AS4AADE AGGREGATE S DED RETENTION 3 _ $ WORKERS COMPENSAZtODI STATLffE ER I _ ?AND EMPLOYERS' LIAMTY NIA F.L. EACH ACCIDENT $ 'ANY PROPRiETOWPARTNERIEXECUTRVE YIN ,OFFICER/MEMBER EXCLUDED? :(Mandatory In NH) E.L. DISEASE - EA EMPLOYFF. S` If , desuibe under E.L. DISEASE --POLICY LiMTT S i DESCRIPTION OF OPERATIONS below i . i 3 DESCRIPTION OF OPERATION S! LOCATIONS I VM*C ES JACORD I", Additional Remarks Schedule, may tw attached if more space is retit fired) 4999 TOYOTA SIENNA VAN CERTIFICATE HOLDER CANCIELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WMLL BE DELIVERED IN ACCORDANCE H THE POLI PROVISIONS. t AUTH es..- 1g8g-2Q15 ACORD CORPORATION_ AN rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-1 fr201fi CERTIFICATE OF LIABILITY INSURANCE American Family Insurance Company ❑ American Family Mutual Insurance Company if selection box is not checked. 6000 American Pky Madison, Wisconsin 53783-0001 Insured's Name and Address Agent's Name, Address and Phone Number (Agt.lDist.) Shannon McCoy Barbara Ann Deforest 2299 Villard St Apt 101 983 N Phoenix Rd Ste 102 Ashland, OR 97520 Medford, OR 97504 (541) 773-2588 (051/509) This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This certificate does not amend, extend or after the coverage afforded by the policies listed below. COVERAGES This is to certify that policies of insurance listed oe3ow 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. TYPE OF INSURANCE POLICY NUMBER POLICY DATE LIMITS OF LIABILITY EFFECTIVE EXPlRATIOfJ Mo. Day, Yr) (MO, Day, Yr) Homeowners/ Bodily Injury and Property Damage Mobilehomeowners Liability Each Occurrence S ,000 Boatowners Liability Bodily Injury and Property Damage Each Occurrence $ ,000 Personal Umbrella Liability Bodily Injury and Property Damage Each Occurrence $ ,000 Farm Liability & Personal Liability Farm/Ranch Liability Each Occurrence $ ,000 Farm Employer's Liability Each c•a rrenLe $ ,000 Statutory Workers Compensation and Each Accident $ ,000 Employers Liability t Disease - Each Employee $ 000 Disease - Policy Limit $ ,000 General Liability General Aggregate $ 2,000,000,000 D Commercial General Products - Completed Operations Aggregate $ 2;000,000,000 Liability (occurrence) 36..X43267-01 06%0312316 06/0312017 Personal and Advertising Injury $ 1;000,000,000 ❑ EachOccurrerr-e $ 17000,000,000 ❑ Damage to Premises Rented to You $ 100, 000 ,000 Medical Expense (Any One Person) $ 5,000,000 Businessowners Liability Each Occurrencett $ ,000 Aggregate t 1 $ 000 Liquor Liability Common Cause Limit $ 000 Aggregate Limit $ 000 Automobile Liability Bodily Injury - Each Person $ 000 ❑ Any Auto El All Owned Autos Bodily Injury -Each Accident $ 000 ❑ Scheduled Autos Property Damage S ,000 ❑ Hired Auto ❑ Nonowned Autos Bodily Injury and Property Damage Combined $ ,000 Excess Liability ❑ Commercial Blanket Excess Each Occurrence/Aggregate $ ,000 Other (Miscellaneous Coverages) DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES/ RESTRICTIONS I SPECIAL ITEMS tThe individual or partners ❑ Have shown as insured elected to be covered under this policy. ❑ Have not ttProducts-Completed Operations aggregate is equal to each occurrence limit and is included in policy aggregate. CERTIFICATE HOLDER'S NAME AND ADDRESS CANCELLATION Window Should any of the above described policies be cancelled before the expiration date SgUeeky Clean Cleaning thereof, the company will endeavor to mail days) written notice to the Certificate Ki wa S ll E il0e f-Qwn' f Holder named, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. '10 days unless different number of days PO Box 256 shown. Z This certifies coverage on the date of issue only. The above described policies are Talent, OR 97540 subject to cancellation in conformity with their terms and by the laws of the state of issue. DATE ISSUED AUTHORIZED REPRESENTATIVE 0110812016 Carrie tiJfay U-201 Ed. ',5/04 Stock No, t76*s68 Rev..-/ ?Ot i CAD Y-) CEO WICATI OF LIABILITY INSURANCE American Family Insurance Company Q American Family Mutual 'Insurance Company selection tick is not checked. 8QE?t} A Pkcy Madison, tlliisconsin 5378$-OWI Insurred's NameandAddness - f~WWs, Name; Address and Phone Number (AgtJDist.) ' BobbyA castes Barbara Ann Delbrest 349 Engle St Apt 142 980 N Phoenix Rd Ste 102 bland, OR 97520 Medford, OR 97504 ~ (541) 773-2588 (051/509) This tifcate isIssued 'as amatter of ink>Fnratiun only -snit fers nw rights upon the Cate HottlTer. This -cafe does eUmd or aKw the af~t~ bV the poll es K*-*"eff4 el fisted below. This is t o- that po&cies of inse+artoe lisEed bebw been issued to the insured maned above tnr the poiW period ind Mad, nah0 sta viing am requiremeK term or cona#ion d any contract or other docurr*mt with Tsped l vA*h #►is Vie. mpy be bstue d a may peFbib , the 3 oe afforded by the pricier: desaibed herein is subject to all the temw axdusiorrs, and conditions d such policies. - - PpLfCY"QATE T »OF.1N;ItiiRANM POLICYNUIi R Ex ,TION LtMt'i'S OF LIABILITY *omeowrwisil Body hjuryand Phoperty Die iU letwlntets Liability Each ocauwnce $ ,000 Ba ly tnjrsy and Property Damage xata ricers Liability 1524h occurrowe $ ,pop - Person! u> Ia L j Hodil► Injury rtyed PwpatY Dwage Each occurrence $ 1000 f-erm 81'eraor>ai Liabddy Each ocraarence $ ,000 FarRr/Ranch LiabiNty Each oca ce $ 1000 lik"Dry WorkeTs CqW-elm mWn and Each Aeciaera $ 1000 f now"r-s UAW f oissaw - Each Ernpbyee $ ,000 Memo - l $ ,000. General Liability eermW AWegate $ 2,000,000 - a Commercial General Pmduft -Conn rle~d operalkmAggregab $ 2, ,OOD Liability foccutrence) Pane nw and Adwrrg Injury $ 4,0041000 36-X39144-01 02115)2016 02115M17 0 [arr~ageio Revises Dented to YOU ~ 1€ 0,000 Meftal Expense (Any one Person) $ 5,000 of $ , Each 000. Busuiessowrters Liabil-dy Agwegd t $ ,pop f:aomran cause t.(irrni $ ,000 Liquor. Liability Aggragaft Un* - $ ,000 Autciit oNk I.Ability Body Ivory- Each Person $ .000 Any Auto eoday injury - Each Awidern $ ,000 ❑ All Owned Autos ❑ Scheduled Autos PwpedyDarnaW $ ,000 Hired Auto ❑ No nowned Autos easy Injury am Rmp mV Dame Ca fftned $ 30 00 Excess Liability ❑ Commercial Stanket Excess Each Occurmncaffiqgregata $ ,000 Other .(filliscelianeous. Cow) DEscktp 'ldN of o0i3kAmoNs 1 t oc kTioNS i VEwa.8s i a c noNs i spmw rrems tThe irrrhrndr>al or path Hers ❑ have shown ~ insured elected ip be aorrered order this policy. ❑ Have not ttfmducls~ed Operations aggregate is equal to each occurrence limit and is included in policy aggregate. d6ffi~T HCJLW&S E AND ASS CANCELLATION acry of the albwe deacxibed pohaes be canceftd before the expiration date ttwoof, the company wil 6XIBMW to mail - days) wrYden notice to the Cerfifxate Honer marred, but rare to mail such notice shall impose no pion or liability of any land upon the company, As-agerds or represent •10 days unless Werent number of days shove n. Tfns ahtTres image on the date of leSue turfy. The above descrr"be(I po!.ices are subject to cam in conformity wiffi #t& terms and by the Haws of the slate of ie'sue. DATE lssuM AtJTI-tfDl REPRI=SENTATIVE 08119/2'016 Leah Verwold U-201 Ed. 6100 StD& NO. osssa Rev. 7ro2 Business Licenses of Subcontractors 0 CITY OF ASHIMD OFFICIAL RECEIPT 20 East Main Stmt Ashland, Oregon 97520 00046367 (541)488-6004 aewipt date 8/=416 TILLO WINDOW CLEANING Tert~ Payee name L02443W Customer NO: Check .nwnWr flaw 00053907 l.Icer%" type Business License ff~:4Q 8 CITY OF ASHLAND TAX REGISTRATION (FOR REVENUE PURPOSES ONLY) BUSINESS LOCATE lNFOR114AT +1 >rs.;,? OWNER INFORMATION (541) 70e -0~2,1.1 NAM BhANNCN UR Y COY REGISTRATION EXPIRES JUNE 30. t t FIRST IMPRES ,,ONS_ PERFORMANCE SMUTIONS 221 LL.ARD ST 101 2017 ASHLAND, OR 7520 IQ §lg T Q IN A EMCF1 Purchase Order Fiscal Year 2017 Page: 1 of: 1 B City of Ashland ATTN: Accounts Payable L 20 E. Main Purchase 136 L Ashland, OR 97520 Order # T Phone: 541/552-2010 O Email: payable@ashland.or.us V SQUEEKY CLEAN WINDOW & EXTERIOR CLEANING, S C/O Public Works Department N INC 1 51 Winburn Way PO BOX 256 p Ashland, OR 97520 D O TALENT, OR 97540 T Phone: 47 541/488-6006 R O - - Ka lea Kathol =Qar cadfne zamqrmAggDir 2426 City Accounts Pa able - 1 22 09/02/2016 A - ----I 1__ = - - - _ Window Cleaning Services 1 Window cleaning services to all major City facilities and The 1 $2,095.0000 $2,095.00 Grove. Contract for Goods and Services Less than $25,000 Beginning date: 08/26/2016 Completion date: 10/31/2016 GL SUMMARY 082400 - 602400 $1,990.25 125301 - 602220 $104.75 By.,. Date: ' a Authorized Signature $2,095.00 FORM #3 CITY OF ASHLAND REQUISITION Date of request: 8/29/16 Required date for delivery: 9/02/16 Vendor Name Squeeky Clean Window % Exterior Cleaning, Inc. Address, City, State, Zip po Box 256, Talent, OR 97540 Contact Name & Telephone Number Kiva Schreiber, (541) 646-5081 Fax Number squeekycleanwc@gmail.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 provide window cleaning services to all major City facilities and the Grove. $2095.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost XXX xxx xxx TOTAL COST ® Per attached quote/proposal Project Number Account Number 410.08.24.00.602400 (95%) Account Number Account Number 211.12.03.01.602220 (5%) *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 hardvfare and software purchases: IT Director Date Support-Yes No By signing this requisition farm, 1 certify that t e City's fbf c contracting requirements have been satisfied. Employee: Department Head: `V f (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