HomeMy WebLinkAbout2017-103 Contract - Bugs Northwest
Contract for GOODS AND SERVICES less than $25,000
C 1 T Y O F CONTRACTOR: Bugs Northwest
ASHLAND
CONTACT: Dave Mays
20 East Main Street
Ashland, Oregon 97520 ADDRESS: 551 SW G Street OR
Telephone: 541 /488-6002
Fax: 5411488-5311 TELEPHONE: (541) 472-5003
DATE AGREEMENT PREPARED:23 Feb 2017 FAX: (5417 770-2920
BEGINNING DATE: 23 Janua 2017 COMPLETION DATE: 30 Jun 2017
COMPENSATION:
Not to Exceed $2520.00
GOODS AND SERVICES TO BE PROVIDED:
Treat for bu s as described for each location as per 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 Cit 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 2796.220, 2796.225, 2798.230, 2796.235, 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
written notice to Contractor, or at such later date as ma be established b Cit under any of the followin
Contract for Goods and Services Less than $25,000, 06/3012016, Page 1 of 7
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. Obli~ationlLiabilitY 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:
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,
includin covers a for owned, hired or non-owned vehicles, as a licable.
Contract for Goods and Services Less than $25,000, 0613012016, Page 2 of 7
d. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or
intent not to renew the insurance coverages) 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 andlorself-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, suitor
proceeding (collectively, "the claim") between the City (andlor 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
HEISHE HAS READ THIS CONTRACT, UNDERSTANDS IT, AND AGREES TO BE BOUND BY ITS TERMS AND
CONDITIONS.
19. Nonappropriations Clause. Funds Available and Authorized: City has sufficient funds currently available and
authorized for expenditure to finance the costs of this contract within the City's fiscal year budget. Contractor
understands and agrees that City's payment of amounts under this contract attributable to work performed after the
last day of the current fiscal year is contingent on City appropriations, or other expenditure authority sufficient to allow
City in the exercise of its reasonable administrative discretion, to continue to make payments under this contract. In
the event City has insufficient appropriations, limitations or other expenditure authority, City may terminate this
contract without penalty or liability to City, effective upon the delivery of written notice to Contractor, with no further
liability to Contractor.
20. Prior Approval Required Provision. Approval by the City of Ashland Council or the Public Contracting Officer is
required before any work may begin under this contract.
21. Certification. Contractor shall sign the certification attached hereto as Exhibit A and herein incorporated by
reference.
Contract : ~ ~ ; ~ City of Ashland
~.u,~, ~
ignature Department Head
~L ~1A-~ ~ ~ f~.
Print Name Print Name
~ ~
Title Date
W-9 One copy of a W-9 is to be submitted with 0
the signed contract. Purchase Order No.
Contract for Goods and Services Less than $25,000, 0613012016, Page 3 of 7
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) I 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.
~.-1..abor 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) I 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.
Contractor (Date)
Contract for Goods and Services Less than $25,000, 06/30/20 6, Page 4 of 7
~ ~ ~ ~ ~ ~
EXHIBIT B
~ o s an
.
. , . ,
per hour effective June 30, 2016
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 ormore 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 Cityof
service contract between their Ashland in excess of ➢ Note: "Employee" does not
employerand the Cityof $20,283.20. include temporary orpart-time
Ashland if the contract employees hired for less than
exceeds $20,283.20 or more. ➢ If their employer is the Cityof ~ 040 hours in any twelve-
Ashlandincluding 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,
~ ~ ~ ~ , ~ ~
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 predominancy in areas where it can be seen by all employees.
CITY OF
SHLAND
Contract for Goods and Services Less than $25,000, 0613012016, Page 5 of 7
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Bu s ~ar~
9
Estimate
February 16, 2017
City of Ashland
Dave Arnold
Billing Address: 90 N Mountain Ave, Ashland, OR 97520
Phone: 541-552-2292
Email: dav~.arnold~ashlar~r_o~,~as
3
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City Hall, 24 N Main St., Ashland, OR 97520
Treat Exterior for Gen Pests, Including 2~d story windows 220.00
Police Station,1155 E Main St, Ashland, OR 97520
Treat Interior and Exterior perimeter for Gen Pests 250.00
90 N Mountain Ave, Ashland, OR 97520
Treat Exterior for Gen Pests, Including Maintenance Shop 330.00
51 Winburn Way, Ashland, Or 97520
Treat Exterior For Gen Pests 165.00
1175 E Main St, Ashland, Or
Treat Interior and Exterior Perimeter for Gen Pests 200.00
455 Siskiyou Blvd, Ashland, OR 97520
Treat Interior and Exterior Perimeter for Gen Pests 165.00
186U Ashland St, Ashland, OR 97520
~ Treat Interior and Exterior Perimeter far Gen Pests 165.00
NEW: Mountain View Cemeter
y
Treat Interior and Exterior for Gen Pests
1 Office with equipment storage
2 equipment sheds
1 Mortuary 275.00
i
a
NEW: 1 }Ashland Airport Hangar (Surplus}
Treat Interior and Exterior {{2) V1lalis} for Gen Pests 165.00
2)104 ft by 60 ft Hangar (Skinner)
Treat Interior and Exterior for General Pests 385.00
3) 50 ft by 50 ft Office Building
Treat Interior and Exterior for Gen Pests 200.00
Contract for Goods and Services Less than $25,000, 0613012016, Page 6 of 7
i
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NOTE FOR ALL SERVICES: TREAlMENTIS ONE TIME FOR EACH 81LL1NG.
~ 1F ADDITIONAL
TREATMENT IS NEEDED AN EXTRA COST MAY BE APPLIED TO
TOTAL
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www .bugsnw,com
! 541.472.5003 ~ 541.770.2920
55 i SW "G" Street ~ GrGnts PGSS, OR 97526
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Contract for Goods and Services Less than $25,000, 06130!2016, Page 7 of l
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° ~ Notice Date; September 7, ~?416
T~ Account Number; 9988487
Af~ti~
'~~'~DR ~EIIP~I~III~ DETAIL
ALTO IN~URANC~ Policy number Vehicle{s~ Your policy activity Amoui~zi ~ ~
A36A4937883 2004 Ford Policy renewal ~2,D66,.f,8
Ranger A84765 effective date 10/11 j16
Policy term
10/11 /16-04/11 /17 _2009 Fard
F-150 B71843
2009 Ford
Ranger A51076
2009 Ford
Ranger A54631
CONTACT Contact C~}l~NTRY Contact your C®UNT~
Ph®ne Financials representati~ra
1-866-COUNTRY (1-866-268-6879) Debbie Derenski
Mailing Addr®ss 205 Northwest E St
Did you know you can COUNTRY Mutual Insurance Company Grants Pass, OR 97526
- pay online? P.O. Box 2100 (541 } 479-0362
Bloomington, ft_ 61702-2100 Email: debbie.derenski~a countryfinancial.ccm
Web: www.countryfinancial.com/debbie.deren:ki
CaUNTRY Web
www.countryfinancial.corn
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~:~~:~Jl~d~'1"1;~~~~ ~lut~~l Insurance Cor~pa~y~
Scy>~ 141 ~1, Salem, ~}recon 97309-5069
~~,~~~i~v.c~auntryfir~ancia3,com
~~=p~ernbar 7, 2ti1 ~i
Oregon INSURANCE CARDS} ENCLQSED
Ib~AYS DAVID ADAIuI & KRISTINA l~A
~~25 Ll NCOLN RD
GR,~NTS PASS OR 97526-5834
ACCOUNT NUMBER 99830$7-001-00001
POLICY PERIOD BEGINNING Uct 11, 2016
C~~~UNTRY Finar)cial~. Helping You Achieve Financial Security, No ~~latter where You're Starting From.
Contact DEBBRA DERENSKI to put our experience and financial strength to wont for ycu,~
Thank you for insuring your vehicles} with COUNTRY Financial.
Enclosed you wiCl find:
- A proof of insurance card for each vehicle covered.
- A Declarations page for the following policy:
~126~,4~83~883 - 284 FORD & 21109 FORD
2008 FORD & 2009 FORD
Itrluytic~r Discount has changed on:
~36~14~837883 - 20Q4 FORD & 2009 FORD
2909 FORD & 2009 FORD
if there are any changes, corrections or if you need more information, please contact !/our
financial representative, DEBBRA DERENSKI at X541)479-0362.
At COUN1"RY y{ou ALWAYS TASK Tt~ A REAL PERSON when you call us for help. Gur
customer L~ervice hour.9 are 24 hours a day, 7 days a week. If your financial representative is
not available to take your call, one of our service representatives will help you. Or you may call
this number 1.86+x-COUNTRY {1.856.268-6879) for your service needs.
To report a claim or for roadside assistance any time, day or night, calf 1.866-COON"~'RY
~1.866.268-fi879~.
COUNTRY Mutual Insurance Company
' 1490 (~~G-06/04/94 (More information on the other sid~~~
9719
AUTD ~~SU~►N~E D~~~~~_Ar~~.`"~~.
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P.G. ~<>x i~4itii, Saierr,, Grecian 973179-;iGti9
~'referr~c] F>I~l~ POLICY NUMBER POLICY TERM PAYMENT PLAN INS: OFFU~( ' ~ icy :~'J
A36A4937883 6 MONTHS SEMI-ANNUAL 360~l3 S{7RE~~
.1.Q rf~;: ~~lt a c;lairr: or fcr roadside assistance any ACCOUNT NUMBER 9988087-001-00001 ~ - _ _
kime ria~ or r~iciht, call 1-866-CC►UNTRY(1-866-268-6879)
Policy period beginning Oct 1i, 2016
IPJSURED 12:01 a~m. standard time at your address
ending Apr 11, 2017 12:00 a.m.
MAYS DAVi D ADAM ~ KRISTI NA MA
X25 L.IN~QLN RD Declarations reason:
GRANTS PASS OR 9526-5834 POLICY RENEWAL
Effective Oct i 1, 2016 12:01 a.m. standard time
at dour address.
Your policy consists of the policy booklet,
applications, declarations pages and any
endorsements. Please keep them together.
ao~~c o0ot~
T~o~-al_ PREMIUM ~Z,G66.B6
VEFiICL.t" VEMICi.E, USE AND DRIVER INFORMATION
20~0~4 F+0l~D A84765 TRUCK 1 ~'ON AND UNDER, BUSINESS, MALE, 30-64
2,~t}0~9 F~I~D ~7i643 TRUCK 1 TaN AND UNDER, PLEASURE, FEMALE, 30-64
_ ;~tI09 F~?RD A51076 TRUCK 1 ~'ON AND UNDER, PLEASURE, FEMALE, 30-64
ytI09 FORD A54631 TRUCK 1 TC~N AND UNDER, PLEASURE, FEMALE, 30-64
QOLICY i;OiJE.RAtaE LIMITS EACH PERSON EACH CJCCURRENCE
!6AE~ILIT`~'-BODILY INJURY 250,000 500,000
PR~:~PI~R~1'Y D,aM,~,OE - 100,000
UNIC~SURED 1101-°3►RIS~'S 250,000 500,000
_
UNC{~~=IINaURED Irt'OTORIS~"S _ _____2~O;t)t~0 . ~ ....~0'~~0 _ w_. ; , _
2004 FORD 2009 FORD 2009 FORD ' 10;~.~ ~ R i '
Terr 005 Terr 005 Terr 005 ~l'~:~n ;:~G
~'ENICLE c;C}~•ERA~E LIMITS i
PERSt~NAL INJUR`.! PROTECT
~::ACN PER;~ON 100,000 100,OOq 100,000 ~ ~ ,IC,~;~ti
COl_LISIOI~J •,~C7UAL CASH
`~',G~.ULr _ESS [QED 500 500 500 j a{
C,CrIIiPF~EHEN;a11~rE - ACl'l1AL
i"~:iR VAi..l.JE LESS DED 250 250 250 ,:~5
RO~~~; BERVIC;E * YES
EN~HIt~R~SEMEI~TS'
lJNit~15'~t~~FiE~D MOTORISTS ~
i='i=~L)P~~~:P-fit' D~,MAGE CO'J YES ~ YES ~ YES ~ '~~E
AMEa~~^JDATOR"r' EhJi)-OR YES YES YES ( `~"E:
SAF~:1"Y` CaLr~SS =ULL COV YES YES YES "E
PRIlIi~lU~flS E
LIF~1=~iL.ITI'-BODILY INJURY 288.51 184.37 ~ 184.37 ~ ~ -
PRCIPERTY DAM~~,GE included included included ~ ;i ~;ie
U9~ItJLiURE=DMO~-C}RISTS 38,18 38.18 ~ 38.18 w~:,`
Ui~I:IEREPI"CURED IVIOTORIS7S included included included ~ - ;i ;~~;f
PE~~~:~s~N~~.IE~JUF;`(PROTECT 107.02 60.21 ; 63.96 ~
COL.LISiC}N 115.77 121,02 ~ 111.46 ~ 1 ~
COiIiF~RE~F~ENSiVE 81.69 73.97 r 66:51 ~ ~~.~ti;
RC~~~~D S~E:N1~'ICE 5.00
JI\~11J~;I~iRFD N10~ORISTS
l-s:~(~PhR-~Y D.~111r1A0E CC7`J 6.00 6.00 6.00 ~
FOR SERVICE CALL YOUR FINANCIAL REPRESENTr1Tl~'E DEBBRA DERENSI~I AT (541;479-0362.
x' 1302CR (G1-Ot3i'16} INSURED'S COPY i~~'= .
9721
2004 FORD 2009 FORD 2009 FORD '~~.)(+9 = ~F~~~G
Terr 006 Terr 005 Terr 005 T~;r~ Oi'~
F~rIE~~I~~IVIS
~~ME[~I~~~'T+~RY =NC~-(3R included included included i~~:: ~dE:
~~AFI~:~["'~` GLASS FUl_i_ CO`J incl w/comp incl w/comp incl w/comp i+~+ci ~n~'~: or~p
L+EI~I~"L~ ~~~El~lul~ $637.17 ~ 3488.75 $47a.4s 3e'~1
"I'he VEHICLE PRE~IIIIJIUt f~as
alreatly been changed by
the f~~llc~u~i~~g.
UISC(rUN1'S ,
G~GCJ~ DRVRiSELECT OUST included included included in ; ~d~:ac
M(!L~"IG,A.R included included included i~:> ~d<,c
MI,);u,-I_POLICY ~~JISCOUNT included included included in~:.+d~~c
T4'i'AL JiSCQJNT -X49.13 -4$4.$3 469.21 E. 9.x.''1
* N~w~t applic:abl~~ to this vehicle,
- NE~t applicable to this policy.
Tl~~e 2~~~17 ann+aal meeting foG COUNTRY Mutual insurance Company is April 19 at 1:40 pm, 1701 Towanda Ave., Bloomington, Illinois,
~U"fHEFi II~~'Ei~ESTS -CERTIFICATE HCtLDEFt
2009 FOFI[) RLC INDUSTRIES
2409 FC3R[~ RLC INDUSTRIES
200f3 F~ORU RLC iND~1STRIES
~or/uasna or~ua~i ~Eaa
e~rEUwun~reariua
umrma~
Sep 0 f'', 2016
AU7F10RI~D R6PEiE3ENTA7IVE DATE Ct~WDl7EF~SIGNE:IJ
FDR SERVICE CALL YOUR FINANCIAL REPRESENTATIVE DEBBRA DERENSNCI AT X541)479-0362.
11302(:+8 (01-G6j16} INSURED'S COPY ~~+c~ .
s~22
Purchase Order
®r Fiscal Year 2017 Page: 1 of: 1
B City of Ashland
I ATTN: Accounts Payable
~ 20 E. Main Purchase
prder # 64 0
Ashland, OR 97520
T Phone: 5411552-2010
p Email: payable@ashland.or.us
V H CIO Facilities Maintenance Div
E BUGS NORTHWEST 190 North Mountain Ave
p 551 SW G STREET P Ashland, OR 97520
p GRANTS PASS, OR 97526 Phone: 5411488-5358
R ~ Fax:5411552-2304
_ _
_ -
Vendor=Phone Number _Vendor..Fa~ Nurn~~r _i~~q~is~tiQn-l~mk~~r~_~ ~ - e~rt~n~a.._. ~
David Arnold_ _
- ~
Date Ordered _ Vendor N~umb~r _ Qate Re_ uired~ _ F~rar - ~ : ~ _ ~-._~n~n- 1-~~~i~tt.~.~=-._
0312312017 1287 FOB ASHLAND ORINET30 Cit Accounts Pa able
~,Item# ~ ~ _ ; - _ ~ - - - ~ ~ oc~~ =Ext~r~ _.e~_=Rrlee_=
Desert tiQnLRart~IQ ~
_ _ ~ _r~.. - r ~ ~ _ _ _
Pest Control
1 Apply pest control per Exhibit C of attached contract. 1 $2,520.0000 $2,520.00
Contract for Goods and Services Less than $25,000
Beginning date: 01/2312017
Completion date: 06/30/2017
Project Account: E-000067-999
Project Account: E-000068-999
Project Account: E-000069-999
Project Account: E-000071-999
Project Account: E-000072-999
Project Account: E-000075-999
Project Account: E-0000.76-999
Project Account: E-000077-999
Project Account: E-000102-999
GL SUMMARY
082400 - 704200 $2,520.00 ~ ~ S
_
By: w~ ~~~°~,t>~ Date: ~ -
_f J:~ - ~ -
Autf1"of~zed Signature _ ~ s - $2 520.00
!4 ' r✓'~Z..r"/ imp"~~~~ .N' 4 ~m ~
Lf _
~~Z#3 ~ CITY OF
~SHLAN
RE Q U I S I T I O N ~ Date of request: 02/23/2017
Required date for delivery;
Vendor Name Rii~ i~ixe~PCt
Address, City, State, Zip 551 SW G Street Grants Pass OR _
Contact Name & Telephone Number Dave Mays 541-472-5003 _
Fax Number 541-770-2920
~i~l _
SOURCING METHOD
❑ Exempt from Competitive Bidding
❑ Reason for exemption: ❑ Invitation to Bid (Copies on file)
❑ AMC 2,50 Date approved by Council;
❑ Written uote or ro osal attached Attach co of council communication l~-~
® Small Procurement
Less than $5,000 ❑ Request for Proposal (Copies on file)
® Direct Award Date approved by Council;
❑ VerballWritten quote(s) or proposal(s) -(Attach copy of council communication)
Intermediate Procurement ❑ Sole Source
GOODS & SERVICES ❑ Applicable Farm (#5,6, 7 or 8)
$5,000 to $100,000 ❑ Written quote or proposal attached
❑ (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $7~
PERSONAL SERVICES ❑ Special Procurement
$5,000 to $75,000 ❑ Form #9, Request for Approval
❑ Less than $35,000, by direct appointment ❑ Written quote or proposal attached
❑ (3) Written proposalslwritten solicitation Date approved by Council: _ (Attach copy of council communication)
❑ Form #4, Personal Services $5K to $75K Valid until; Date
Description of SERVICES Total Cost
A I est control as er exhibit C $2520,00
(tern Quantity Unit Description of MATERIALS Unit Price Total Cost
TOTAL COST
® Per attached quotelproposal Account Number 410.08.24.00.704200 ~
Project Number 000061.999 $165 Project Number 000072,999 $200
Project Number 000068.999 $220 Project Number 000075,999 $165
Project Number 000069.999 $330 Project Number 000076.999 $165
Project Number 000071.999 $250 Project Number 000077.999 $275 Project Number 000102,999 $750
~Expendifure must be charged fo fhe appropriate accounf numbers for fhe financials to accurately refiecf fhe actual expenditures,
iT Director in collaboration with department to approve all hardware and software purchases;
IT Director Date Support -Yes /No
By signing fhis requisition form 'fy that fhe Cify's is contracting requirements have been satisfied,
Employee; Department Head. ~ ~ / .
,a (~~~i o or greater than $5,000)
Department ManagerlSupervisor: City Administrator; f
~r , (Eq al to or greater than $25,000)
`"gip ~r.~•.
Fu►~ds appropriated for current fiscal year , YE:~~~ NO ~ ~ ~
Finance Direcfor- (Equal fo or greater than $5,000) Dafe
Comments:
Form #3 -Requisition