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HomeMy WebLinkAbout2017-026 Contract - ACE Engineering • Contract for Personal Services less than $35,000.00 C I T Y OF CONSULTANT: ACE Engineering -AS H LAND CONTACT: Allan Goffe 20 East Main Street Ashland, Oregon 97520 ADDRESS: P.O. Box 231, Ashland, Oregon 97520 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: (541) 552-1417 DATE AGREEMENT PREPARED: 1/19/17 EMAIL: ace-engineeringllc.com BEGINNING DATE: 12/15/16 COMPLETION DATE: 2/28/17 COMPENSATION: $2,080 SERVICES TO BE PROVIDED: Engineering for the Grove and North Mountain buildings. 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 Cit 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 / 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 any losses, expenses, claims, subrogations, 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 an time b mutual consent of both parties. Contract for Personal Services less than $35,000.00, Page 1 of 5 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 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, w h 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. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than Enter one: $100,000, 500,000, wee, or Not Applicable for each accident for Bodily Injury and Property Damage, overage for owned, hired or non-owned vehicles, as applicable. e. Notice of cancellation or Chan e. There shall be no cancellation, material change, reduction of limits or Contract for Personal Services less than $35,000.00, Page 2 of 5 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 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. Certification. Consultant shall sign the certification attached hereto as Exhibit A and herein incorporated b reference. Consultant- City of ~kshlarld a--'... (ikjl~ ' By By Signatu a Depart ment Head All A"e"t 01~ Print Name Print Name Title Date W-9 One copy of a W-9 is to be submitted with L/ the signed contract. Purchase Order No. VED AS TO FORM AshlandAss . City Attorney Dat 7 Q 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: 4o&4< (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. 2(7 . Contractor (Date) Contract for Personal Services less than $35,000.00, Page 4 of 5 CITY OF ASHLAND., OREGON EXHIBIT B City of Ash land LIVING W A FM per hour effective June 30, 2016 (Increases annually every June 30 by the Consumer Price Index) /r 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, 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 Personal Services less than $35,000.00, Page 5 of 5 EXHIBIT C CITY OF ASHLAND WORKERS' COMPENSATION INSURANCE CERTIFICATION 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 be performed by the officers and directors; Contractor will not hire other employees or subcontractors to perform this contract. CORPORATION - NONPROFIT ■ Contractor's business is incorporated as a nonprofit corporation, and ■ Contractor has no employees; all work is performed by volunteers, and ■ Contractor will not hire employees or subcontractors to perform this contract. PARTNERSHIP ■ Contractor is a partnership, and ■ Contractor has no employees, and ■ All work will be performed by the partners; Contractor will not hire employees or subcontractors to perform this contract, and ■ Contractor is not engaged in work performed in direct connection with the construction, alteration, repair, improvement, moving or demolition of an improvement to real property or appurtenances thereto."" LIMITED LIABILITY COMPANY ■ Contractor is a limited liability company, and ■ Contractor has no employees, and ■ All work will be performed by the members; Contractor will not hire employees or subcontractors to perform this contract, and ■ If Contractor has more than one member, Contractor is not engaged in work performed in direct connection with the construction, alteration, repair, improvement, moving or demolition of an improvement to real property or appurtenances thereto.** *NOTE: Under OAR436-50-050 a shareholder has a "substantial ownership" interest if the shareholder owns 10% or more of the corporation, or if less than 10% is owned, the shareholder has ownership that is at least equal to or greater than the average percentage of ownership of all shareholders. **NOTE: Under certain circumstances partnerships and limited liability companies can claim an exemption even when performing construction work. The requirements for this exemption are complicated. Consult with City Attorney's Office before an exemption request is accepted from a contractor who will perform construction work. Allan Goffe, Prolessioral Structural Engineer ACE engineering LLC P. 0. Box 231, Ashland, Oregon 97520 Telephone (541) 552-1417 ace-engineeringlic.com January 26, 2017 City of Ashland - Parks & Recreation Department Attention Jason Minica 1195 East Main Street Ashland, Oregon 97520 Subject: Structural Engineering Services for: West Wall Window Openings, Grove Building, 1195 East Main Street, Ashland Interior Wall Door Openings, North Mountain Park Maintenance Building Thank you for giving ACE engineering LLC the opportunity to provide you with structural engineering services for the above subject project. This proposal is based on our meeting at the subject site on 1/12/2017, 1/18/2017 and 1/26/2017. The scope of services you will receive includes: 1. One secure electronic set of drawings (plans and details) of the office wall & door layout and two proposed window openings in the west framed wall of the existing Grove Building structure stamped by a Structural Engineer licensed in the State of Oregon, suitable for obtaining a building permit and retaining a licensed contractor to perform the work. 2. One secure electronic set of drawings (plans and details) of the one proposed door opening in the interior CMU block walls of the existing North Mountain Park Maintenance structure, stamped by a Structural Engineer licensed in the State of Oregon, suitable for obtaining a building permit and retaining a licensed contractor to perform the work. 3. Abbreviated structural material specifications noted on the drawings. 4. Response to any questions or concerns the building official, the owner or the contractor may have about the structural portion of the project. Cost of Structural Engineering Services: $2,080.00 The total costs indicated above will be billed as a fixed fee not to exceed the indicated amount due and payable upon completion of the structural design and furnishing of structural drawings. If the scope of work significantly changes after ACE engineering LLC is given notice to proceed, additional fees may be required. The terms of this agreement shall be performed in accordance with the following provisions. The scope and fee outlined in this document is valid for 90 days. If 90 days has past without executing a signed agreement, review of the scope and fee shall be allowed prior to executing an agreement. Thank you for your consideration. ACE engineering LLC is looking forward to working with you on this project. If you have any questions, please contact me anytime. Sincerely, Allan T Goffe, P.E., S. E. 1 of 2 Allan Goffe, Pro`esswal Structural Engineer ACE engineering LLC P. 0. Box 231, Ashland, Oregon 97520 Telephone (541) 552-1417 ace-engineeringlic.com PROVISIONS 1. Authorization to Proceed Work will not begin until a specific written and signed authorization by the City of Ashland (Clients) for ACE engineering LLC (ACE) to proceed with the services described in this agreement is received by ACE. 2. Professional Standards ACE shall be responsible, to the level of competency presently maintained by other practicing professional engineers in the same type of work in the community of the project, for the professional and technical soundness, accuracy and adequacy of all designs, drawings, specifications, and other work and materials furnished under this Authorization. ACE makes no other warranty, expressed or implied. The documents and design prepared by ACE, as an instrument of professional service, shall remain the property of ACE and are not to be used for any other project, owner or configuration without written authorization from ACE. 3. Termination Either Clients or ACE may terminate this Authorization by giving 30 days written notice to the other party. In such event, Clients shall forthwith pay ACE in full for all work previously authorized and performed prior to effective date of termination. If no notice of termination is given, relationships and obligations created by this authorization shall be terminated upon completion of all applicable requirements of this authorization. 4. Arbitration All claims, disputes, and other matters in question arising out of, or relating to this Authorization or the breach thereof may be decided by arbitration in accordance with the rules of the American Arbitration Association then obtaining. Either Clients or ACE may initiate a request for such arbitration, but consent of the other party to such procedure shall be mandatory. No arbitration arising out of, or relating to this Authorization may include, by consolidation, joinder, or in any other manner, any additional party not a party of this Authorization. 5. Legal Expenses In the event legal action is brought by Clients or ACE against the other to enforce any of the obligations hereunder or arising out of any dispute concerning the terms and conditions hereby created, the losing party shall pay the prevailing party such reasonable amounts for fees, costs and expenses as may be set by the court or on appeal. In event that this contract is in default and the account is turned over for collections, Clients is responsible for all collection costs and expenses and reasonable attorney fees. 6. Payment to ACE Engineering LLC Progress invoices will be issued monthly by ACE for fees for all on-going work performed under the terms of this agreement until completion. Progress invoices are due and payable by Clients in full on receipt. A finance charge of 2% (24% annually) will be added to a balance over 30 days old. 7. Limitation of Liability The liability of ACE to Clients, their agents, the contractor or the project owner for any cause or combination of causes is, in the aggregate, limited to an amount no greater than the material value of the structural materials specified under this agreement or the least amount permitted by law. 8. Right to Lien This agreement authorizes ACE to lien the owner's property in the event invoiced fees are not paid within the time specified by law. 2of2 Client#: 167334 ACEENGI ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/11/2016 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 endorsement(s). ACT Sally Battershell PRODUCER NAME. Propel Insurance a/CO,Nr o, Ext ; 800 499-0933 ~X, No ; 866 577-1326 Portland Commercial Insurance E-MAIL ADDRESS: sally•battershell@propelinsurance.com 888 SW 5th Avenue, Suite 1170 INSURER(S) AFFORDING COVERAGE NAIC # Portland, OR 97204-2025 INSURER A : Sentinel Insurance Company 11000 INSURED INSURER B : Liberty International Underwrit ACE Engineering LLC INSURER C PO Box 231 INSURER D : Ashland, OR 97520 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 CONTRACTOR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR D/YYYY LIMITS INSR TYPE OF INSURANCE ADDL INSR WVD VD POLICY NUMBER MM/DD/YYYY MM/DC A GENERAL LIABILITY 52SBAF06344 5/14/2016 05/14/201 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $1,000,000 CLAIMS-MADE EXI OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 -1 F7 POLICY JE ~ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ Per accident HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y TORY LIMIT ER ANY PROPRIETOR/PARTNER/EXECUTIVE / N E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Professional AEA1018860003 3/16/2016 03/16/201 Per Claim $1,000,000 Liability Aggregate $2,000,000 Retro 3/16/2004 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 340 S Pioneer Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2162610/M2162608 MF00 VEHICLE OR EQUIPMENT CERTIFICATE OF INSURANCE DATE(NIMID01YYYY) 07/2012016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOLDER. 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. This form is used to report coverages provides[ to a single specific vehicle or equipment, Do net use this four to report liability coverage provided to multiple vehicles under a single policy, Use AGORD 25 for that purpose. PTiODUCCR CONTACT NAr~Is:_ RUSS WIMMER StXG'Fe?t'i77 ROSS t31lIINMER iNSl1RANCE INC. P do ! xTj: 547776787 - - IC,Noj. t 2936 E F3ARNE TT* RD ENTAIL SMITE 109 PAUUUCraR GUST, OdL1ELt ~p k- - - - - MEDFORD - OR 97504 INSURHR(Bj AFFORDING COVMA431: - NAIL k - INSURED INSURER A : State l=and Mutual Automobile Insurattt a Company 25176 ALLAN GOFFE INSURER a 1930 CRESTVIEW DRIVE INSURERC 1 _ ASHLAND OR 97520 rgSLII~Ek ~ ; - DESCRIPTION OF VEHICLE OR EQUIPMENT YEAR 1AAKE1l11ATiUFACT4R[rt &100FL HODY TYPE VEHIGLE IDLN-1iFTCAT1014 NUMBER 2011 TOYOTA TACOMA TRUCK 3TMML)4FNX5M033605 _ DESCRIPMN VEHIC4FSSpU1PMI1NT VALUE SERIAL NUMBER COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: THIS IS TO CL:RTIFY TI-TAT THE POLIGY(ICS) OF INSURANCE LISTED BELOW HAS114AVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD(S) INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIC;14 THIS CERTIFICATE AdAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED ICY THE POUCY(IES) DESCRIBED HEREIN IS/ARE SUBJECT TO ALL THE TERMS, EXCLUSION$ AND CONDITIONS OF SUCH POIJCY(IES) INSR AD" POLICY EFFECTIVE PotiGY EXP1RATrON LTR D16R TYP9OFINSURANCB L POLICY NUMBER DATE(61WOMYVYI DATEj?AWD0NYYY) U1~IYS VC HICLE LIADILIVY C(iriBINED SINCLE LIMIT J BODILY INJUIly (Per p onm) LL S 100,000 131 0644-803-378 07120/2096 02/0312017 R0D1LYt3'IdEtAY(Pc{9Ccidtvtl) t 340,040 PItOPr-RTY DMIAGE 900,000 GEIIERAL UABILITY EACH OCCURFNGE 5 (YCURR£tICE F G[NF. RFL AGGJ:CG,g1'r 1 CLAIMS ?ME INSR Lov; POLICY EFFECTIVE POLICY EAPIRATI014 TR PAYEE rYPE OF INSURANCE POLICY NuMer-N DATE (M1ftD01YYVYj aATE (FIMIDWYYYY) LIMITS I OEOUCTIBLE i VEII COWS1ON LOSS Q ACV AGREED A►ST $ LIMIT SrATEO AMT $ DE D Vtl I COI,. VFn OTC 0 ACV AG-r0 AIAT S LIMIT - 1 1:1 ❑ STA7t_a ALIT S DED EQUIPMENT 0 ACV Cj AGAFFO AIAT - $ LOVIT E AASIC BROAD kc SIATEDIUMT f oEO r ;:reclnL n s REMARKS (INCLUIltW SPECIAL CONDITIONS I OTHER COVERAGES) (ARAC)i ACORD 101, Addloortal Ramarim Sthedule, t1 more space to required) 5 ADDITIONAL INTEREST CANCELLATION Select one of thf' following: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED !X[me- admiirm e intetesi dcsrrbed blow has Immi n dod 10 the pahcy;iE6; it^ea 116[tin by Pansy number(x) BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE , raquesl its-, heprl etimltlci ID am 0a udlill 101 in Wrtzt 00CALed tAv.V f 0 Ilse pclicy(igs) DELIVERED IN ACCORDANCE: WITH THE POLICY PROVISIONS. ytd J.'.rr hy,(..{W.j ttsmtnrlc , $ VFHICLC I COUIPME11T INTEREST.- LEASE(? FlIIAltC O bESCRiPTION OF THE ADIXTIO14AL INTEAKST l j NA1AF AND AUUFtE55 OF AfiOlTIOtIALINII REST x A11301TIONAL INSURED L05S PAYER CITY OF ASHLAND LE1IDEIrS LOSS PAYEE 51 Winbufn Way LOAN ILC-A$e KIIIIIER v A'3HLAND OR 97520 AUTO EP T G l t_ 19 7-20 5 Atbh RPORATION. All rights reserved. ACORD 23 (2016103) The ACORD name and logo aro registered marks of ACORD 1004361 142,15t.3 01,26-20T6 U I j S: Purchase Order ~ s~ or Fiscal Year 2017 Page: 1 of: 1 ~'S & REGRF"o f 8 t1 =MU-ME AP-PIA 11A1 MSH M-151 IG = EN B Ashland Parks Commission - I ATTN: Accounts Payable L 20 E. Main Purchase 539 L Ashland, OR 97520 Order # T Phone: 541/552-2010 O Email: payable@ashland.or.us S C/O Parks Department V ACE ENGINEERING LLC H Admin Office E PO BOX 231 1 340 South Pioneer N ASHLAND, OR 97520 P Ashland, OR 97520 D Email: ATG@ACE-ENGINEERINGLLC.COM O T Phone: 541/488-5340 R O Fax: 541/488-5314 ~l -P.-KW lumIJd -_~_[gh &NFfa 1lft _W_ = sus _DWI re Lz_ vim[ J 6 r$r~ ~ _ Jason Minica Date_rsiE -feodQt 1~1Umbe 02/06/2017 2111 FOB ASHLAND OR Parks Accounts Payable Engineering Services 1 Engineering services for the Gove and North Mountain Buildings 1 $2,080.0000 $2,080.00 Contract for Personal Services Less than $35,000 Beginning date: 12/15/2016 Completion date: 02/28/2017 GL SUMMARY 120900 - 604160 $2,080.00 By: Date: Authorize - ig.nature $2,080.001 FORM #3 CITY OF ASHLAND REQUISITION Date of request: 1/19/17 Required date for delivery: Vendor Name ACF~ Fnqin,-Pring City, State, Zip P.O. Box 231, Ashland OR 97520 Contact Name & Telephone Number Allan Goffe 541-552-1417 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 ❑ 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 $2,080 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost Engineering Services TOTAL COST ® Per attached quotelproposal $2,080 Project Number Account Number - 4:664100'" Account Number Account Number *Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. lT Director in collaboration with department to approve all hardware and software purchases: /T Director Date Support -Yes /No By signing this requisition form, l certify that the City's public contracting requirements have been satisfied , Employee: Department Head: to i - qual to or greater than $5,000) Department ManagerlSupervisor: - 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