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HomeMy WebLinkAbout2017-050 Contract - C&S Fire Safe Services Contract for GOODS AND SERVICES less than $25,000 CITY OF CONTRACTOR: C & S Fire Safe Services -ASHLAND CONTACT: Kaylynn Ramsey, Service manager 20 East Main Street Ashland, Oregon 97520 ADDRESS: 4019 Hooker Road Roseburg, OR 97470 Telephone: 541/488-6002 Fax: 541/488-5311 TELEPHONE: (541673-1337 DATE AGREEMENT PREPARED: 31 Jan 2017 FAX: (541) 673-4534 BEGINNING DATE: February, 2017 COMPLETION DATE: 30 June 2017 COMPENSATION: Not to exceed $3000.00 GOODS AND SERVICES TO BE PROVIDED: Provide service and maintenance on fire extinguishers and related equipment for FY 2017. Per fee schedule attached as exhibit C. 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 prima City of Ashland Contract. NOW THEREFORE, pursuant to AMC 2.50.090 and after consideration of the mutual covenants contained herein the CITY AND CONTRACTOR AGREE as follows: 1. All Costs by Contractor: Contractor shall, provide all goods as specified above and shall at its own risk and expense, perform any work described above and, unless otherwise specified, furnish all labor, equipment and materials required for the proper performance of such work. 2. Qualified Work: Contractor has represented, and by entering into this contract now represents, that any personnel assigned to the work required under this contract are fully qualified to perform the work to which they will be assigned in a skilled and worker-like manner and, if required to be registered, licensed or bonded by the State of Oregon, are so registered, licensed and bonded. Contractor must also maintain a current City business license. 3. Completion Date: Contractor shall provide all goods in accordance with the standards and specifications, no later than the date indicated above and start performing the work under this contract by the beginning date indicated above and complete the work by the completion date indicated above. 4. Compensation: City shall pay Contractor for the specified goods and for any work performed, including costs and expenses, the sum specified above. Payments shall be made within 30 days of the date of the invoice. Should the contract be prematurely terminated, payments will be made for work completed and accepted to date of termination. Compensation under this contract, including all costs and expenses of Contractor, is limited to $25,000.00, unless a separate written contract is entered into by the City. 5. Ownership of Documents: All documents prepared by Contractor pursuant to this contract shall be the property of City. 6. Statutory Requirements: ORS 27913.220, 27913.225, 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 by Contractor to perform work or services attendant to this contract). Contractor shall not be held responsible for any losses, expenses, claims, subrogations, actions, costs, judgments, or other damages, directly, solely, and proximately caused by the negligence of City. 9. Termination: a. Mutual Consent. This contract may be terminated at any time by mutual consent of both parties. b. City's Convenience. This contract may be terminated at any time by City upon 30 days' notice in writing and delivered by certified mail or in person. C. For Cause. City may terminate or modify this contract, in whole or in part, effective upon delivery of Contract for Goods and Services Less than $25,000, 06/30/2016, Page 1 of 5 written notice to Contractor, or at such later date as may be established by City under any of the following conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this contract or are no longer eligible for the funding proposed for payments authorized by this contract; or iii. If any license or certificate required by law or regulation to be held by Contractor to provide the services required by this contract is for any reason denied, revoked, suspended, or not renewed. d. For Default or Breach. i. Either City or Contractor may terminate this contract in the event of a breach of the contract by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and intent to terminate. If the party committing the breach has not entirely cured the breach within 15 days of the date of the notice, or within such other period as the party giving the notice may authorize or require, then the contract may be terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time is of the essence for Contractor's performance of each and every obligation and duty under this contract. City by written notice to Contractor of default or breach, may at any time terminate the whole or any part of this contract if Contractor fails to provide services called for by this contract within the time specified herein or in any extension thereof. iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in addition to any other rights and remedies provided by law or under this contract. e. Obligation/Liability of Parties. Termination or modification of this contract pursuant to subsections a, b, or c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such termination or modification. However, upon receiving a notice of termination (regardless whether such notice is given pursuant to subsections a, b, c or d of this section, Contractor shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Contractor shall deliver to 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. Non-discrimination Certification: The undersigned certifies that the undersigned Contractor has not discriminated against minority, women or emerging small businesses enterprises in obtaining any required subcontracts. Contractor further certifies that it shall not discriminate in the award of such subcontracts, if any. The Contractor understands and acknowledges that it may be disqualified from bidding on this contract, including but not limited to City discovery of a misrepresentation or sham regarding a subcontract or that the Bidder has violated any requirement of ORS 279A.110 or the administrative rules implementing the Statute. 12. Asbestos Abatement License: If required under ORS 468A.710, Contractor or Subcontractor shall possess an asbestos abatement license. 13. Assignment and Subcontracts: Contractor shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Contractor shall be fully responsible for the acts or omissions of any assigns or subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. 14. Use of Recyclable Products: Contractor shall use recyclable products to the maximum extent economically feasible in the performance of the contract work set forth in this document. 15. Default. The Contractor shall be in default of this agreement if Contractor: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; if it loses its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the work or to qualify as a QRF if Contractor has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency; makes a general assignment for the benefit of creditors, or ceases doing business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or delegate duties under, the Contract. 16. Insurance. Contractor shall at its own expense provide the following insurance: a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for 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, Contract for Goods and Services Less than $25,000, 06/30/2016, Page 2 of 5 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. Contractor: City of Ashland By By d' ignature Department ~1U/e4/L_ Po,#-er C ,1Ask~( A C 4Id Print Name Print Name 0t4-) yx 4A_ 7/ 1 Z Title Date W-9 One copy of a W-9 is to be submitted with O the signed contract. Purchase Order No. Contract for Goods and Services Less than $25,000, 06/30/2016, 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. y1 (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. v' (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. 2-10-17 Contractor (Date) Contract for Goods and Services Less than $25,000, 06/30/2016, Page 4 of 5 I 1/30/2017 Print : Quoteview : ServiceTrade From C&S Fire-Safe Services, i - LLC Box, M 4019 Hooker Road f;!!tr F'±rr.fr_- r `'ow "rarfy' Roseburg OR 97470 (541) 673-1337 Quote NO. 0248036 Quote For CITY OF ASHLAND email CITY OF ASHLAND CITY Type Sales HALL I Prepared By Tim D O'Sullivan Created On 01030/2017 90 N MOUNTAIN AVE ASHLAND OR 97520-2014 Valid Until 01/01/2018 541-552-2292 Description of Work RE: Proposal for Fire Extinguisher Services 2017/2018 year Annual fire extinguisher inspections at $6.00 each Recharges and 6 year maintenance of dry chemical fire extinguishers, each I 2.5 # ...$10.75 5#........$13.75 10# .....$22.75 i 20# .....$34.75 I 12 year Hydro-test of dry chemical fire extinguishers, each 2.5 #...$18.75 5# ......x21.75 10# $34.75 20#.. .$46.75 ABC powder $2.00 per pound i O-rings........... $2.00 each I Valve Stem $7.00 each Recharge of CO fire extinguishers r 5 # .....$21.00 10# ....$24.50 3 3 15# ....$31.50 20# ....$37.50 Hydro-test of CO fire extinguishers 5 $35.00 10#..... $38.50 15#.....$45.50 t 20# $51.50 O-rings......... $3.00 each https://app.servicetrade.com/quoteview/print?id=6b8L50IHzmjiTA9UB3nCYkRsLev6SnzpVGdYxAvhRARGkmgbLmX721ULT%2BsNIB17D9CBdlt /ge... 1/2 i 1/30/2017 Print : Quoteview : ServiceTrade Recharges and 6 year maintenance Halotron fire extinguishers, each 2.5 $36.00 5# ........$43.00 11# $52.00 15# $58.00 1/,► 12 year Hydro-test of Halotron fire extinguishers, each 2.5 # ...$48.00 5# .......$55.00 11# .....$64.00 15# $70.00 i Halotron $36.00 per pound 0-rings ..............$2.00 each Valve Stern ........$9.00 each Fire Extinguisher training class at $150.00 per class Recharges for fire extinguisher classes are done at level 3 pricing and dependent upon the sizes used in the class. Thank you, Tim OSullivan Rogue Valley Fire Suppression Technician (541) 580-6860 cell i Services to be completed Portable Extinguishers QUOTE FOR 2017/2018 Parts, labor, and fees Quantity Price Total GRAND TOTAL $0.00 j Terms and Conditions i 1 Approved by Dave Arnold on 1/30/2017 01:26pm from IP address 66.241.64.95 L -2- ~C https:?/app.servicetrade.com/quoteview/print?id=6b8L5QIHzmjiTA9UB3nCYkRsLev6SnzpVGdYxAvhRARGkmgbLmX721 ULT%2BsNIB17D9CBdlWge... 2/2 i • • • EXHIBIT B City of Ash land LIVING WAGF pn,mper hour effective June 3% 2016 ow (Increases annually every June 30 by the ~r Consumer Price Index) portion of business of their 401 K and IRS eligible employer, if the employer has cafeteria plans (including ten or more employees, and childcare) benefits to the has received financial amount of wages received by assistance for the project or the employee. ➢ For all hours worked under a business from the City of service contract between their Ashland in excess of ➢ Note: "Employee" does not employer and the City of $20,283.20. 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 Goods and Services Less than $25,000, 06/30/2016, Page 5 of 5 AcoR°® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/17/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Deborah Ra NAME y Trinit Insurance A enc Inc. PHONE (541) 942-8870 FAX (541)942-8870 y g y AIC No Ext : A/C No): PO Box 565 E-MAIL ADDRESS: dray@ trinityinsurance. us INSURERS AFFORDING COVERAGE NAIC # Cottage Grove OR 97424 INSURERA:Tokio Marine Specialty Ins. Co. 23850 INSURED INSURER B:Philadel hia Indemnity Insurance Co 18058 C & S Fire-Safe Services, LLC INSURER C : 4019 Hooker RD INSURER D : INSURER E : Roseburg OR 97470-1170 INSURER F : COVERAGES CERTIFICATE NUMBER:CL1611200151 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 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 INADDL SD SUWVD ER POLICY NUMBER MM/ DYYYY MM LTR / D YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 F—] j DAMAGE TO RENTED 100 , 000 A CLAIMS-MADE IX I OCCUR PREMISES Ea occurrence $ _ X Y PPK1573207 10/30/2016 10/30/2017 MED EXP (Any one person) $ 5 , 000 PERSONAL & ADV INJURY $ 1,000,000 I I ~ GEN'L AGGREGATE LIMIT APPLIES PER: ~ GENERAL AGGREGATE 5 2,000,000 POLICY X PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Professional Liability $ Included OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ B ALL OWNED SCHEDULED AUTOS X AUTOS X Y PHPK1572178 10/30/2016 10/30/2017 BODILY INJURY (Per accident) $ NON-OWNED PROPERTY DAMAGE. $ X HIRED AUTOS X AUTOS Per accident UM/UIM $ 1,000,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 A X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED X RETENTION$ 0 X PUB562491 10/30/2016 10/30/2017 $ PR - WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N STATUTE I ERH I 1ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? I N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Environmental Li.ablity X I Y I PHPK1573212 10/30/2016 10/30/2017 Each Occurrence $1,000,000 B Employee Theft & Client Cvg PHSD1192414 10/30/2016 10/30/2017 Limit $50,000 DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Contractor: Fire Suppression Systems, Fire Extinguishers, Alarm Systems and Sprinkler Systems - Installation, Servicing or Repair. The City of Ashland, Oregon, and its elected officials, officers and employees are Additional Insured per the attached CG 2012 0413 endorsement. Ongoing and Completed Operations is included per the attached CG 2037 0413 endorsement. Waiver of Transfer of Rights included per the attached CG 2404 0509 endorsement. CERTIFICATE HOLDER CANCELLATION david.arnold@ashland.or.us SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland - Public Works THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Dave Arnold, Facility Maintenance ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main St Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Deborah. Ray/DRAY ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 onl4m ) COMMENTS/REMARKS Primary & Noncontributory wording included per the attached PCI GLN 020 1013 endorsement. Blanket Additional insured included for Auto on the attached PI CA 003 0414 endorsement. Waiver of Transfer of Rights included for Auto per the attached CA 04 44 10 13 endorsement. Primary & Noncontributory wording included for Auto per the attached PI CA 004 1014 endorsement. 30 day Notice of Cancellation and Non-Renewal for Auto is included per attached PI-CANC-002 (04/14) endorsement. Certificate Holder is an Additional Insured with respect to the Pollution Policy is included per the attached PI EVCN 004 (10/13) endorsement. Waiver of Transfer of Rights with respect to the Pollution Policy is included per the attached PI EVCN 172 (10/13) endorsement. OFREMARK COPYRIGHT 2000, AMS SERVICES INC. i POLICY NUMBER: PPK15 7 3 2 0 7 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/ COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: AS REQUTRED BY WRT_TTEN CONTRACT EXECUTED PRTOR TO AN OCCURRENCE OR OFFENSE. Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ POLICY NUMBER: PHPK1572178 COMMERCIAL AUTO CA 04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: C & S Fire Safe Services LLC Endorsement Effective Date: 10/30/2016 SCHEDULE Name(s) Of Person(s) Or Organization (s): When Required by Written Contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Pagel of l PI-EVCN-004 (10/13) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED WRAP-UP PROGRAM CONTRACTORS This endorsement modifies and is subject to the insurance provided under the following: CONTRACTOR ENVIRONMENTAL COVERAGE SCHEDULE Name of Additional Insured: Entities as required by written contract, provided such contract is fully executed prior to any remediation expense or claim for remediation expense or loss. t It is hereby agreed that, solely with respect to Coverage A. Occurrence - Contracting Operations Environmental Liability Coverage and their liability arising out of your contracting operations, completed operations or transportation, the contractor(s) shown in the endorsement SCHEDULE above is (are) an additional insured. It is further agreed that additional insured includes subcontractors of the contractor scheduled above, provided: 1. A written contract or agreement between the scheduled contractor and the subcontractor requires such subcontractor be an additional insured under this policy; and 2. Such written contract or agreement was executed prior to the date that the subcontractor's work on the project site first commenced. All other policy terms and conditions remain unchanged. Page 1 of 1 © 2013 Philadelphia Consolidated Holding Corp. i POLICY NUMBER: PPK15 7 32 0 7 COMMERCIAL GENERAL LIABILITY CG 20120413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: AS REQUIRED BY WRITTEN CONTRACT EXECUTED PRIOR TO AN OCCURRENCE OR OFFENSE. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to 2. This insurance does not apply to: include as an additional insured any state or a. "Bodily injury", "property damage" or governmental agency or subdivision or political "personal and advertising injury" arising out subdivision shown in the Schedule, subject to the of operations performed for the federal following provisions: government, state or municipality; or 1. This insurance applies only with respect to b. "Bodily injury" or "property damage" operations performed by you or on your behalf included within the "products-completed for which the state or governmental agency or operations hazard". subdivision or political subdivision has issued B. With respect to the insurance afforded to these a permit or authorization. additional insureds, the following is added to However: Section III - Limits Of Insurance: a. The insurance afforded to such additional If coverage provided to the additional insured is required by a contract or agreement, the most we insured only applies to the extent permitted will pay on behalf of the additional insured is the by law; and amount of insurance: b. If coverage provided to the additional 1. Required by the contract or agreement; or insured is required by a contract or 2. Available under the applicable Limits of agreement, the insurance afforded to such Insurance shown in the Declarations; additional insured will not be broader than whichever is less. that which you are required by the contract or agreement to provide for such additional This endorsement shall not increase the insured. applicable Limits of Insurance shown in the Declarations. CG 2012 0413 C Insurance Services Office, Inc., 2012 Page 1 of 1 i PIC-GLN-020 (10/13) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, and all subparts thereof, as contained in the policy is deleted in its entirely and replaced with the following condition: 4. Other Insurance If all of the other insurance permits contribution by equal shares, we will follow this method unless the insured is required by written contract signed by both parties, to provide insurance that is primary and noncontributory, and the "insured contract" is executed prior to any loss. Where required by a written contract signed by both parties, this insurance will be primary and non-contributing only when and to the extent as required by that contract. However, under the contributory approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contributory by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit if insurance to the total applicable limits of insurance of all insurers. All other terms, conditions and exclusions under the policy are applicable to this endorsement and remain unchanged. Page 1 of 1 i PI-CA-004 10/14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY CLAUSE ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The following is added to SECTION IV-BUSINESS AUTO CONDITIONS, B. General Conditions, 5. Other Insurance: The insurance provided by this policy for any additional insured endorsement attached to this policy is primary when primary coverage is required in a written contract. In addition, we will not seek contribution from any insurer when insurance on a non-contributing basis is required in a written contract for any additional insured endorsement attached to this policy. For coverage to apply, the written contract must have been executed prior to the occurrence of "loss." This endorsement supersedes anything to the contrary. Page 1 of 1 ©2014 Philadelphia Consolidated Holding Corp. i PI-EVCN-172 (10/13) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION - SCHEDULED This endorsement modifies and is subject to the insurance provided under the following: CONTRACTOR ENVIRONMENTAL COVERAGE SCHEDULE Individuals, Entities or Organizations:' Entities as required by written contract, provided such contract is fully executed prior to any remediation g expense or claim for remediation expense or loss. It is hereby agreed that Section X. GENERAL CONDITIONS, A. Subrogation shall not apply to any rights of recovery we may have against the individuals, entities or organizations shown in the endorsement SCHEDULE above. This provision supersedes any language to the contrary. All other policy terms and conditions remain unchanged. Page 1 of 1 02013 Philadelphia Consolidated Holding Corp. i POLICY NUMBER: PPK1573207 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/ COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations AS REQUIRED BY WRITTE\1 CONTRACT EXECUTED PRIOR TO AN OCCURRENCE OR OFFENSE. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III - Limits Of Insurance: with respect to liability for "bodily injury" or " If coverage provided to the additional insured is property damage" caused, in whole or in part, by required by a contract or agreement, the most we 'Your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement; or hazard". 2. Available under the applicable Limits of However: Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted by This endorsement shall not increase the applicable law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 PI-CA-003 (04/14) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured is amended by adding the following: The following are also "insureds": Any person or organization for whom you are required by an "insured contract" to procure "bodily injury" or "property damage" liability insurance arising out of the operation of a covered "auto" with your permission. However, this additional insurance does not apply to: 1. The owner or anyone else from whom you hire or borrow a covered "auto." This exception does not apply if the covered "auto" is a "trailer" connected to a covered "auto" you own, 2. Your "employee" if the covered "auto" is owned by that "employee" or a member of his or her household; 3. Anyone using a covered "auto" while he or she is working in a business of selling, servicing, repairing, parking or storing "autos" unless that business is yours; 4. Anyone other than your "employees," partners (if you are a partnership), members (if you are a limited liability company), or a lessee or borrower or any of their "employees," while moving property to or from a covered "auto"; or 5. A partner (if you are a partnership), or a member (if you are a limited liability company) for covered "auto" owned by him or her or a member of his or her household. B. The "'insured contract" must be in effect during the policy period shown in the Declarations and must have been executed prior to the "bodily injury" or "property damage". C. This person or organization is an "insured" only to the extent you are liable due to your ongoing operations for that "insured", whether the work is performed by you or for you, and only to the extent you are held liable for an "accident" occurring while a covered "auto" is being driven by you or one of your employees. D. There is no coverage provided to this person or organization for "bodily injury" to its employees or for "property damage" to its property. E. Coverage for this person or organization shall be limited to the extent of your negligence or fault according to the applicable principles of comparative negligence or fault. F. The defense of any claim or "suit" must be tendered by this person or organization as soon as practicable to all other insurers which potentially provide insurance for such claim or "suit". G. A person's or organization's status as an "insured" under this endorsement ends when your operations for that "insured" are completed. Page 1 of 2 PI-CA-003 (04/14) H. The coverage extended to any additional insured by this endorsement is limited to, and subject to all terms, conditions, and exclusions of the Coverage Part to which this endorsement is attached. In addition, coverage shall not exceed the terms and conditions that are required by the terms of the written agreement to add any "insured," or to procure insurance. 1. The following additional exclusions apply: The insurance afforded to any person or organization as an "insured" under this endorsement does not apply to "loss": 1. Which occurs prior to the date your contract is effective with such person or organization; 2. Arising out of the sole negligence of any person or organization that would not be an "insured" except for this endorsement; or 3. Which occurs after you returned the leased or rented "auto" to the lessor or the policy period ends, whichever occurs first. Page 2 of 2 PI-CA-003 (04/14) H. The coverage extended to any additional insured by this endorsement is limited to, and subject to all terms, conditions, and exclusions of the Coverage Part to which this endorsement is attached. In addition, coverage shall not exceed the terms and conditions that are required by the terms of the written agreement to add any "insured," or to procure insurance. 1. The following additional exclusions apply: The insurance afforded to any person or organization as an "insured" under this endorsement does not apply to "loss": 1. Which occurs prior to the date your contract is effective with such person or organization; 2. Arising out of the sole negligence of any person or organization that would not be an "insured" except for this endorsement; or 3. Which occurs after you returned the leased or rented "auto" to the lessor or the policy period ends, whichever occurs first. Page 2 of 2 PI-CANC-002 (04/14) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION AND NON-RENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: COMMON POLICY CONDITIONS SCHEDULE Notice of Cancellation and Non-Renewal Number of Days Notice: 30 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation or non-renewal, as provided in paragraph 2. of either the Cancellation Common Policy Condition or as amended by an applicable state cancellation endorsement, is increased to the number of days shows in the Schedule above. Page 1 of 1 Purchase Order Fiscal Year 2017 Page: 1 of: 1 B City of Ashland MANwsm t PP]NM= DO ATTN: Accounts Payable Purchase L 20 E. Main Order # 601 Ashland, OR 97520 T Phone: 541/552-2010 0 Email: payable@ashland.or.us V C & S FIRE SAFE= SERVICES H C/O Facilities Maintenance Div E 4019 HOOKER ROAD I 90 North Mountain Ave N p Ashland, OR 97520 D ROSEBURG, OR 97470 0 Phone: 541/488-5358 R T Fax: 541/552-2304 O Vendor PhQneJumhr V~nsir_=-~N um fser ~trW_ -4 WE r = = 541 673-1337 Dave Arnold Q to Otde d U ndor= l~umb~r mate=E3 quires i = - - Br_ 1 1I_ _ law m$n E afian - 02/28/2017 754 FOB ASHLAND OR City Accounts Payable Fire Extinguisher Maintenance 1 Service and maintenance of fire extinguishers and related 1 $3,000.0000 $3,000.00 equipment. Contract for Goods and Services Less than $25,000 Beginning date: February, 2017 Completion date: June 30, 2017 Project Account: E-000254-999 GL SUMMARY 082400 - 602400 $3,000.00 ti I r Date Authorize-d-Signature $3,000-00, FORM # CITY F ASHLAND Date of request: 01/31/2017 REQUISITION Required date for delivery: Vendor Name P~ S FIRE SAFF gFRVI('Fq Address, City, State, Zip 4019 HOOKER ROAD ROSEBURG OR 97470 Contact Name & Telephone Number KAYLYNN RAMSEY (541) 673-1337 Fax Number (541) 673-4534 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 pro osal attached _ Attach co of council communication _(If council approval required, attach co of CC ® Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon Date approved by Council: ® Direct Award -(Attach copy of council communication) Contract # ❑ Verbal/Written quote(s) or proposal(s) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS & SERVICES ❑ Applicable Form (45,6, 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 Provide service and maintenance of fire extinguisher and related equipment for FY 2017 $3000.00 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ® Per attached quote/proposal Project Number _ 000254.999 Account Number _ 082400.602400 *Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect the actual expenditures. IT Director in collaboration with department t"pprove all hardware and software purchases: 117 IT Director Date Support -Yes / No By signing this requisition form 1 certify that the ityA public contracting requirements have been satisfied. Employee: Department Head: (Equal to or~g°reaterthan $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