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HomeMy WebLinkAbout2016-278 Contract - Studio FuwaFuwa Contract for Personal Services less than $35,000.00 CITY OF CONSULTANT: Studio FuwaFuwa -ASHLAND CONTACT: Jeremy Holmes 20 East Main Street Ashland, Oregon 97520 ADDRESS: P.O. Box 103, Medford, OR 97501 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: (541) 301-5685 DATE AGREEMENT PREPARED: 10/4/16 EMAIL: jeremy(crDstudiofuwafuwa.com BEGINNING DATE: 10/14/16 COMPLETION DATE: 4/30/17 COMPENSATION: Not to exceed $6,400 SERVICES TO BE PROVIDED: Per attached Exhibit C, produce 26 to 32 pages for the Ashland Parks and Recreation Commission's Winter/Spring 2017 and Summer 2017 Recreation Guides at a rate of $100 per page, for a total cost of $5,200 to $6,400. ADDITIONAL TERMS: In the event of conflicts or discrepancies among the contract documents, the City of Ashland Contract for Personal 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. FINDINGS: Pursuant to AMC 2.50.120, after reasonable inquiry and evaluation, the undersigned Department Head finds and determines that: (1) the services to be acquired are personal services; (2) the City does not have adequate personnel nor resources to perform the services; (3) the statement of work represents the department's plan for utilization of such personal services; (4) the undersigned consultant has specialized experience, education, training and capability sufficient to perform the quality, quantity and type of work requested in the scope of work within the time and financial constraints provided; (5) the consultant's proposal will best serve the needs of the City; and (6) the compensation negotiated herein is fair and reasonable. NOW THEREFORE, in consideration of the mutual covenants contained herein the CITY AND CONSULTANT AGREE as follows: 1. Findings I Recitations. The findings and recitations set forth above are true and correct and are incorporated herein by this reference. 2. All Costs by Consultant: Consultant shall, at its own risk and expense, perform the personal services described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such service. 3. Qualified Work: Consultant has represented, and by entering into this contract now represents, that all personnel assigned to the work required under this contract are fully qualified to perform the service 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. 4. Completion Date: Consultant shall start performing the service under this contract by the beginning date indicated above and complete the service by the completion date indicated above. 5. Compensation: City shall pay Consultant for service 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. 6. Ownership of Documents: All documents prepared by Consultant pursuant to this contract shall be the property of City. 7. Statutory Requirements: ORS 279C.505, 279C.515, 279C.520 and 279C.530 are made part of this contract. 8. Living Wage Requirements: If the amount of this contract is $20,283.20 or more, Consultant 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 service work under this contract. Consultant is also required to post the notice attached hereto as Exhibit B predominantly in areas where it will be seen by all employees. 9. Indemnification: Consultant 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 Consultant (including but not limited to, Consultant's employees, agents, and others designated by Consultant to perform work or services attendant to this contract). Consultant shall not be held responsible for an losses, expenses, claims, subro ations, Contract for Personal Services less than $35,000.00, Page 1 of 5 actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City. 10. Termination: a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties. b. Cites 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 Consultant, 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 Consultant 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 Consultant 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 Consultant's performance of each and every obligation and duty under this contract. City by written notice to Consultant of default or breach may at any time terminate the whole or any part of this contract if Consultant 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, Consultant shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Consultant 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 Consultant for work performed prior to the termination date if such work was performed in accordance with the Contract. 11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Consultant is a subject employer that will comply with ORS 656.017. 12. Assignment and Subcontracts: Consultant 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. Consultant 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. 13. Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if consultant 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. 14. Insurance. Consultant shall at its own expense provide the following insurance: a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. Professional Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $250,000, $500,000, $1,000,000, $2,000,000 or Not Applicable for each claim, incident or occurrence. This is to cover damages caused by error, omission or negligent acts related to the professional services to be provided under this contract. C. 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. d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: to Contrac far Persona( Services less that~ y $35,000.00, Page 2 of 5 fns 0,KikAto- . )"19a rV4- " QWr~4 - W C- • $100,000, $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. e. 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 Consultant or its insurer(s) to the City. f. Additional Insured/Certificates of Insurance. Consultant shall name The City of Ashland, Oregon, and its elected officials, officers and employees as Additional Insureds on any insurance policies, excluding Professional j Liability and Workers' Compensation, required herein, but only with respect to Consultant's services to be provided under this Contract. The consultant's insurance is primary and non-contributory. As evidence of the insurance coverages required by this Contract, the Consultant shall furnish acceptable insurance certificates prior to commencing work under this contract. 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 Consultant shall be financially responsible for all pertinent deductibles, self-insured retentions and/or self-insurance. 15. 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 Consultant 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. Consultant, 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. 16. 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. CONSULTANT, 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. 17. 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. Consultant 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 Consultant, with no further liability to Consultant. Certifica i . Con Itant shall sign the certification attached hereto as Exhibit A and herein incorporated b reference. onsultan - City of Ashland By By Signature Department Head 5 Print Name Print Name 'V F Title D Ate W-9 One copy of a W-9 is to be submitted with the signed contract. Purchase Order No. Contract for Personal Services less than $35,000.00, Page 3 of 5 EXHIBIT A CERTIFICATIONS/REPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be issued to it and (b) Contractor is not subject to backup withholding because (i) it is exempt from backup withholding or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS has notified it that it is no longer subject to backup withholding. Contractor further represents and warrants to City that (a) it has the power and authority to enter into and perform the work, (b) the Contract, when executed and delivered, shall be a valid and binding obligation of Contractor enforceable in accordance with its terms, (c) the work under the Contract shall be performed in accordance with the highest professional standards, and (d) Contractor is qualified, professionally competent and duly licensed to perform the work. Contractor also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, and it is a corporation authorized to act on behalf of the entity designated above and authorized to do business in Oregon or is an independent Contractor as defined in the contract documents, and has checked four or more of the following criteria: (1) 1 carry out the labor or services at a location separate from my residence or is in a specific portion of my residence, set aside as the location of the business. (2) Commercial advertising or business cards or a trade association membership are purchased for the business. (3) Telephone listing is used for the business separate from the personal residence listing. (4) Labor or services are performed only pursuant to written contracts. (5) Labor or services are performed for two or more different persons within a period of one year. (6) 1 assume financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties, errors and omission insurance or liability insurance relating to the labor or services to be provided. Contra for (Date) Contract for Personal Services less than $35,000.00, Page 4 of 5 1 EXHIBIT B C"Ity of Ashland LIVING WA E per hour effective June 30, 2016 (Increases annually every June 30 by I1r 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 projector 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 $20,283,20. 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- 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, 0- 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 Personal Services less than $35,000.00, Page 5 of!-) Fu apu a October 2, 2016 This document certifies that we (Studio Fuwafuwa, LLC) have agreed to produce 26 to 32 pages each for the Ashland Parks & Recreation Commission Winter/Spring 2017 and Summer 2017 Recreation Guide, at a rate of $100 per page, for a total cost of $5200 to $6400. We will import the in-house pages into the guide at no additional cost. We will adhere to the production schedules as decribed by Dorinda We are also extending our Non-Profit Rate of $70/hr for any additional projects on an as-needed basis. (This is discounted from our standard rote of $85/hr). We bill in .25hr increments with a 1hr minimum charge. We bill monthly ofter the completion of a project. Payment is due within 45 days of completion/ billing statement. We provide status updates on in-process projects as necessary. Thank you for the opportunity to work with your organiztion. We look forward to it! Contact: Jeremy Holmes 1 541-301-5685 1 jeremy@studiofuwafuwa.com VV V\/VV. STUD! 0FU~VAFUWA CON/I ( FACES00K.CONI/STUDIO-rU~w`AFU~AJA AC40 L> CERTIFICATE OF LIABILITY INSURANCE 08/002/2016 ~A~(2120% , 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 [TOES 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(les) must have ADDITIONAL. INSURED provisions 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 NADINE. CINDY Statefarm MANNY SAENZ PHONE 5417702878 PAX 5412825580 WC. NO Eft - LAIA W91; STATE FARM INSURANCE E-MAIL CINDYQMANNYSAENI-COM v 535 STEVENS ST STE 0 INSU s AFFORINNG COVERAGE _ NAIC # MEDFORD, OR 97504 INSURER A ; State Farm Fire and Casualty Company 25143 INSURED INSURER O: JEREMY HOLMES INSURER C : DBA STUDIO FUWAFUWA, LLC INSURER D : P 0 BOX 103, 25 SUMMIT AVE INSURER P: MEDFORD, OR 97501 INSURER f COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPEOFINSURANCtx A PdUt: !r U Y P v rtuluee LIMITS COMMERCIAL GENERAL UAMUTY EACH OCCURRENCE $ 2,000,000 CLAII,AS44ADE ® OCCUR p I s 300,000 PROFESSIONAL UA131UTY MED E XP (My one person $ 5,000 X 97-BV-0037-5 02/1412016 02114/2017 PERSONAL s ADV INJURY $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,1300 POLICY 0 jEOT 0 LOC PRODUCTS -COMPIOP AGO 5 2,000,000 O Eit: AUTOMOBILP,UABILITY COMBINED SINGLE S Ea acckWm r ANY AUTO BODILY INJURY (Per perwn) S OWNED SCHEDULED BODILY INJURY (Per fiedderd) 5 AUTOS ONLY AUTOS HIRED NON-0V6+NEA PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY tPer $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS UAS CLAIMS-MADE A043REaATE S DED RewNnON $ WORKERS COMPENSATION 8 A p - AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE NIA EL EACH ACCIDENT S OFFICERII1tt:MBER EXCLUDIX? (Mandatwy In NiNI E.L. DISEASE-FA EMPLOYE s K es dasadbe under D SG~RIPTION OF PERATIONS Wow E.L. DISEASE - POLICY LIMIT $ OESCRIPTIUN OF OPFRAYIONS I LOCATIONS I VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may ba attached It more spare to sequined) "The City of Ashland, Oregon, and its elected officials, officers and employees as Addifionat Insureds on any insurance polidesr required herein but only with respect to Consultant's services to be provided under this Contract." CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED SEPQRE= THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF ASHLAND ACCORDANCE WITH THE POLICY PROVISIONS. 20 EAST MAIN STREET SAFNZ 7-.M ASHLAND, OR 97520 AUT14oRaED REPRES£N S OREGON F472 ~ij 6 01988.2016 ACORD CORPORATION, All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 101486 132849.12 03-16-2016 ,ate ' VEHICLE OR EQUIPMENT CERTIFICATE OF INSURANCE 101032016 ~ 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 CER'T'IFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. This form is used to t9pod coverages provided to a single specific vehicle or equipment. Do not use this form to report liability coverage provided to multiple vehicles under a single policy. Use ACORD 25 for that purpose. TACT: CINDY BARNES StateFarrn MANNY GAENZ, SAENZ AI a 541-770-2678 1 Irk., 535 STEVENS ST STE D n 00. RODUCER : MEDFORD -OSTOMERIDO: OR 97504 INSU S AfFMING COVERAGE NAIC # INSUMED INSURERA: State Farm Mutual Automobile Insurance Company 2517B HOLMES, JEREMY INSURER 0: 25 SUMMIT AVE INSURER C : MEDFORD INSURER D: OR 97601 INSUfU?xt B DESCRIPTION OF VEHICLE OR EQUIPMENT YEAR MAKE 1 AjtMFACTUR£R MODEL BODY TYPE VEHICLE IDENTIFICATION NUMBER 2001 BUICK CENTURY 4 DOOR 204VV552J911336240 DESCRIPTION VEHICLEfEOUIPMENT VALUE 99MAL NUMBER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICY(IES) OF INSURANCE LISTED 8ELOW HAS/HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD(S) INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OP ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO VMICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICY(IES) DESCRIBED HEREIN ISIARE SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICY(IES). INSR AOIYL POLICY EFFECTIVE POLICY UPIRATION ILTR INSRO TYPE OF INSURANCE POLICY NUMBER DAIS (MMIDDlYYYY) DATE (MINOO ' M LIMITS X VEHICLE LIAMUTY COMBINED SINGLE LIMIT E 152 8700-F29-37E 00129/2016 1212912016 ~Dl1Y INJl1RY (PIK Pen00) $ 100000 9WILY INJURY (Per eoddeno S 300000 PROPERTY DAMAGE $ 100000 GENERAL LIABILITY EACH OCCURENCE OCCURREWE GENERAL AGGREGATE CLAIMS MA{tE $ 1INSR L s POLICY EFFECTIVE POLICY EXPIRATION LTR A TYPE OF INSWMNCE POLICY NUMBER DAVE (MWDi PNM DAVE (MM O NYYYY) LIMITS / DEDUCTIBLE VEH COLLISION LOSS ❑ ACV © AGREED AMT S UWT ❑ ❑ STA7EDAMT $ DIM VEH COMP VEH OTC ACV ❑ AGREEDAMT , uMIT Il ❑ STATED AMT $ DIED EQUIPMENT ❑ ACV ❑ AGREED AMT ~ ursttT BASIC RIOROAD ❑ RC ❑ STATED AMT ~ DED SPEGAL CI REMARKS IINCLUOING SPECIAL CONDITIONS I OTHER COVERAGES) (Attach ACM 11M, AddlUonal RmnaMte Schedule, It nmm Waco Is required) ADDITIONAL INTEREST CANCELLATION Select one of the following: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED The AddltIonal Interest desottbed hetow has bean added to ft polic ies) fisted heroin by policy number(s). BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE A request has been oulxnttted to add the additional Interestdowibed boo" to UK yoffcy&Ze DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. sled herein by p2M MetLo a . DESCRIPTION OF THE ADDITIONAL INTEREST VEHICLE I EQUIPMENT INTEREST: LEASED FINANCED NAME AND ADDRESS OF ADDMONAL INTEREST X ADDITIONAL INSURED LOSS PAYEE CITY OF ASHLAND LENDF" LOU PAYEE 20 EAST MAIN ST WAN I LEASE NUMBER ASHLAND, OR 97520 AUTHORIZED REPRESENTATIVE U 199712015 ACOFM CORPORATION. All rights reserved ACORD 23 (2015103) The ACORD name and logo are registered marks of ACORD 100MI 142087.3 OI-21~oWG CITY OF ASHLAND OFFICIAL RECEIPT 20 East Main Street Ashland, Oregon 97520 I~1p Number 3 00046687 (541) 48$-6004 . Receipt date 10/3!2016 Payee name STUDIO FUWAFUWA, LLC Tender type Charge Customer NO: 024442 Check number t, r a. a ~t y:. il~ ac s ~ji, yn `s}: .:,-M1~ ti r; _ _ h,t r. Jx s Si, l c ri - Lct 01.tn . 71An *k )V 1>_ '.+~S 1~TtY, t~ ~ \'4 .l 1 f.. ~ ~ 41 ~ a~ N~~p~l.~) ■ . f ~1-.'S. .u ~h•.. t.v (la Y 4 \ ~ i4 S:. Aa.~ .T'-l~. _ 00054107 Application 90.00 License type Business License 90.00 a i CTY OF ASHLND UTIL INT 20 E MAIN ST ASHL'ND, OR 975201850 10 03J2016 12:47:44 DEBIT CARD DEBIT SALE Card # =000COOO(?(4995 Network: INTERLINK Chip Card: US DEBIT AID: AOOOOCO0980840 ATC: 000A TC: 5756E989641EAD64 SEQ 8 Batch 1788 INVOICE 8 Approval Code: 231587 Entry Method: Chip Read Mode: Issuer • FIN Verified SALE AMOUNT Ox CUSTOMER COPY 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 EXEMPTION FROM COVERAGE: Contractor is exempt from the requirement to obtain workers compensation insurance under ORS Chapter 656 for the following reason (initial the appropriate box). SOLE PROPRIETOR • Contractor 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 beperformed 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 • Conti-actor 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 • I f Contractor has more than one member, 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.** sa. tune of Authorized Signer) (Date) (Signer'sTitle) S Purchase Order Fiscal Year 2017 Page: 1 of: 1 a= ~'S REGR~o ~yy m-~- [a REA B Ashland Parks Commission I ATTN: Accounts Payable L 20 E. Main Purchase 386 L Ashland, OR 97520 Order # T Phone: 541/552-2010 O Email: payable@ashland.or.us V S C/O Recreation Division (Grove E STUDIO FUWAFUWA, LLC I 1195 East Main Street N PO BOX 103 D MEDFORD, OR 97501 P Ashland, OR 97520 O Phone: 541/488-5340 T Fax: 541/488-5314 R O won" Rachel Dials 10/20/2016 2366 Parks Accounts Pa able_ -Irk - Produce Recreation Guides 1 Produce 28-32 pages for the APRC Winter/Spring 2017 and 1 $6,400.0000 $6,400.00 Summer 2017 Recreation Guides at a rate of $100 per page, for a total cost from $5,200 to $6,400 GL SUMMARY************** 120900 - 604160 $3,200.00 125301 - 606100 $3,200.00 B t` . mate: 1~ Authorized ignature $6,400.00 Q FORM 93 9i 1 O REQUISITION Date of request: 10/10/16 Required date for delivery: 10/19/16 Vendor Name Studio FuwaFuwa, LLC, Attn: Jeremy Holmes Address, City, State, Zip PO Box 103, 225 Summit Avenue, Medford, OR 97501 / 541-301-5685 ieremy(a studiofuwafuwa.com Contact Name & Tel I Fax Number SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emergencx ❑ 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 ❑ 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) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract $5,000 to $100,000 ❑ Written quote or proposal attached Agency ❑ (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract # PERSONAL SERVICES El Special Procurement Intergovernmental Agreement $5,000 to $75,000 ❑ 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 Description of SERVICES 'v Total Cost Produce 28-32 pages for the APRC Winter I Spring 2017 and Summer 2017 Recreation Not to exceed $6,400 Guides at a rate of $100 per page, for a total cost from $5,200 to $6,400. Item # Quantity Unit Description of MATERIALS Unit Price Total Cost ® Per attached quote/proposal TOTAL COST Project Number Account Numbers: 211.12.02.01.604160 - 50°ro 211.12.03.01.606100 - 50% 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 I No By signing this rerwisition form, 1 ertify that the City's public contracting requirements have been satisfied. Q Employee Department Head: "6 (A (Equal to or greater than $5,000) Department Manager/Supervisor: City Administrator: (Equal to or greater than $25,000) 6 Funds appropriated for current fiscal year YES / NO _ Finance Director (Equal to or greater than $5,000) Daef Form #3 - Requisition CITY OF ASHLAND FORM #4 DETERMINATIONS TO PROCURE PERSONAL SERVICES $5,000 to $75,000 To: Dave Kanner, Public Contracting Officer From: Michael Black~~ L Date: 10/20/2016 Re: DETERMINATIONS TO PROCURE PERSONAL SERVICES In accordance with AMC 2.50.120(A), for personal services contracts greater than $5,000, but less than $75,000, the Department Head shall make findings that City personnel are not available to perform the services, and that the City does not have the personnel or resources to perform the services required under the proposed contract. However, the City Attorney, the Public Contracting Officer, or Local Contract Review Board, can require a formal solicitation for bids to ensure that the purposes of this chapter are upheld. Background The imel7t is to hire St71dio Fin~~afinvu fo~° the prochtctioii ol'a portion of the recreatioi7 pa(l es. The estitnated cost and aiiiozmt budgeted is 5100 per pu~re, irp to S6,400 as per contract. The tijj7eline of 'the intended contract will be f °oryt 10/14./10 throrr'(;h 4/30117. Pursuant to AMC 2.50.120(A), has a reasonable inquiry been conducted as to the availability of City personnel to perform the services, and that the City does not have the personnel and resources to perform the services required under the proposed contract? Parks staffi.vill continue to prochrce a percentage of the jni,~,es; however, are unable to corrtplete the ewilT 17tr117ber of pares reclttired within the time allotted for the project. This n7akes it necessar y to hire these additional design ser0ces. Form #4 - Department Head Determinations to Procure Personal Services, Page 1 of 1, 10/20/2016