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HomeMy WebLinkAbout2017-113 Contract - RH2 Engineering ORIGINAL 1 PAGE N01 OF 7 PAGES Contract for PERSONAL SERVICES less than $35,000 C~ T Y o F CONSULTANT: RH2 Engineering, Inc. ASHLAND CONTACT. Jeff Ballard, P.E. 20 East Main Street Ashland, Oregon 97520 ADDRESS: 22922 29t" SE Ste. 210 Telephone: 541 /488-6002 Bothell WA 98021 Fax: 5411488-5311 TELEPHONE: 425-951-5400 541-664-5233 DATE AGREEMENT PREPARED: 1/13/2017 EMAIL: jballard~rh2.com BEGINNING DATE: 1/16/2017 COMPLETION DATE: 1/16/2019 COMPENSATION: (NTE) $25,000.00 SERVICES TO BE PROVIDED: General services as requested related to the construction of the TAP Pump Station including, but not limited to: coordination and review on possible impacts associated with the site work being completed by the adjacent property owner, and continued support preparing for and during the final start-up of the TAP Pump Station including necessary changes to components. Management support for the TAP Committee in support of the Intergovernmental Agreement between the Cities of Talent, Ashland, and Phoenix ongoing planning, review, oversight, and maintenance of the TAP Water Intertie Pipeline and Water S stem Im rovements. See attached Exhibit C. 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 rima 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, inconsideration 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 $20,142.20 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 in'ur to an erson includin in'ur resultin in death , or lama a includin loss or destruction to ro ert , of Contract for Personal Services, Revised 01/0312017, Page 1 of 5 whatsoever nature to the extent the harm caused arises a~+s+~ out of e~-i~s+den~e the negligent acts, or errors, or omissions in 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 maybe terminated at any time by mutual consent of both parties. b. City's Convenience. This contract maybe 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 maybe established by City under any of the following conditions: i. If City funding from federal, state, county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; ii. If federal or state regulations or guidelines are modified, changed, or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this contract or are no longer eligible for the funding proposed for payments authorized by this contract; or iii. If any license or certificate required by law or regulation to be held by Consultant to provide the services required by this contract is for any reason denied, revoked, suspended, or not renewed. d. For Default or Breach. i. Either City or Consultant may terminate this contract in the event of a breach of the contract by the other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and intent to terminate. If the party committing the breach has not entirely cured the breach within 15 days of the date of the notice, or within such other period as the party giving the notice may authorize or require, then the contract may be terminated at any time thereafter by a written notice of termination by the party giving notice. ii. Time is of the essence for Consultant's performance of each and every obligation and duty under this contract. City by written notice to Consultant of default or breach may at any time terminate the whole or any part of this contract if Consultant fails to provide services called for by this contract within the time specified herein or in any extension thereof. iii. The rights and remedies of City provided in this subsection (d) are not exclusive and are in addition to any other rights and remedies provided by law or under this contract. e. Obligation/Liability of Parties. Termination or modification of this contract pursuant to subsections a, b, or c above shall be without prejudice to any obligations or liabilities of either party already accrued prior to such termination or modification. However, upon receiving a notice of termination (regardless whether such notice is given pursuant to subsections a, b, c or d of this section, Consultant shall immediately cease all activities under this contract, unless expressly directed otherwise by City in the notice of termination. Further, upon termination, Consultant shall deliver to City all contract documents, information, works-in-progress and other property that are or would be deliverables had the contract been completed. City shall pay Consultant for work performed prior to the termination date if such work was performed in accordance with the Contract. 11. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City. Consultant shall have the complete responsibility for the performance of this contract. Consultant shall provide workers' compensation coverage as required in ORS Ch 656 for all persons employed to perform work pursuant to this contract. Consultant is a subject employer that will comply with ORS 656.017. 12. Assignment and Subcontracts: Consultant shall not assign this contract or subcontract any portion of the work without the written consent of City. Any attempted assignment or subcontract without written consent of City shall be void. Consultant shall be fully responsible for the acts or omissions of any assigns or Subcontractors and of all persons employed by them, and the approval by City of any assignment or subcontract shall not create any contractual relation between the assignee or subcontractor and City. 13. Default. The Consultant shall be in default of this agreement if Consultant: commits any material breach or default of any covenant, warranty, certification, or obligation it owes under the Contract; its QRF status pursuant to the QRF Rules or loses any license, certificate or certification that is required to perform the Services or to qualify as a QRF if consultant has qualified as a QRF for this agreement; institutes an action for relief in bankruptcy or has instituted against it an action for insolvency; makes a general assignment for the benefit of creditors; or ceases doing business on a regular basis of the type identified in its obligations under the Contract; or attempts to assign rights in, or delegate duties under, the Contract. 14. Insurance. Consultant shall at its own expense provide the following insurance: a. Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide Oregon workers' compensation coverage for all their subject workers b. Professional Liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 for each claim, incident or occurrence. This is to cover damages caused by error, omission or ne li ent acts related to the rofessional services to be rovided under this contract. Contract for Personal Services, Revised 01/0312017, Page 2 of 5 c. General Liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 for each occurrence for Bodily Injury and Property Damage. d. Automobile Liability insurance with a combined single limit, or the equivalent, of not less than $1,000,000 for each accident for Bodily Injury and Property Damage, including coverage for owned, hired ornon-owned vehicles, as applicable. e. Notice of cancellation or change. There shall be no cancellation, material change, reduction of limits or intent not to renew the insurance coverages) 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/orself-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, suitor 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 si n the certification attached hereto as Exhibit A and herein incor orated b reference. onsultant: City of Ashlan --o. Signature ,l Depart nt Head ~ Print Name Print Name ~ ~ r ~ Title Date D W-9 One copy of a W-9 is to be submitted with Purchase Order No. the signed contract. VET A~ T~~ F~E~ a.'-';-tip Ashland A t. City tta~ncy ~a Contract for Personal Services, Revised 01103/2017, Page 3 of 5 ORIGINAL 1 PAGE NO 4 OF 7 PAGES EXHIBIT A CERTIFICATIONSIREPRESENTATIONS: Contractor, under penalty of perjury, certifies that (a) the number shown on the attached UV-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 rn~~ local 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: X (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. X (2) Commercial advertising or business cards or a trade association membership are purchased for the business. X (3) Telephone listing is used for the business separate from the personal residence listing. X (4) Labor or services are performed only pursuant to written contracts. X (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 (Dat Contract for Personal Services, Revised 01 /03/2017, Page 4 of 5 ORIGINAL 1 PAGE NO 5 OF 7 PAGES ~ ~ i ~ ~ ~ 1 ■ ~ o s an . , . ' - per hour, effective June 30, 20'16. The Living Wage is adjusted annually every ~r June 30 b the Consumer Price Index. Y , , - , , of business of their employer, 401 K and IRS eligible if the employer has tenor cafeteria plans (including moreemployees, and has childcare) benefits to the received financial assistance amount ofwages received by for the project or business the employee. ➢ Forall hoursworked undera from the Cityof Ashland in service contract between their excess of $20,283.20. ➢ Note: For temporary and employer and the City of part-time employees, the Ashland if the contract ➢ If their employer is the City of Living Wage does not apply exceeds $20,283.20 or more. Ashland, including the Parks to the first 1040 hours worked and Recreation Department. in any calendar year. For ➢ For all hours worked in a more details, please see month if the employee spends ➢ In calculating the living wage, Ashland Municipal Code 50% or more of the employers may add the value Section 3.12.020. employee's time in that month of health care, retirement, working on a project or portion ~ ~ ~ ~ ~ ~ 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 91520, or visit the City's website at www.ashland.or.us. Noticeto Employers: This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF SHLAND ORIGINAL 1 PAGE NO 6 OF 7 PAGES EXHIBIT A Scope of Work City of Ashland TAP Services January 2017 Background The City of Ashland (City) recently completed construction of the Talent-Ashland-Phoenix intertie pipeline (TAP) Booster Pump Station (BPS) that was designed by RH2 Engineering, Inc., (RH2). The BPS supplies emergency potable water to the City in times of need. The City requested RH2 to provide assistance with utility installations being proposed within the easement adjacent to the TAP BPS that may result in functionality challenges at the facility. RH2 will work with the City to ensure site work will not interfere with the operation of the BPS. This Scope of Work will also include efforts related to the final startup and efforts requested with the intermittent running schedule proposed by the City for the BPS. RH2 will observe and coordinate with equipment manufacturers for startup and testing. This project will be completed on a time and expense basis up the $10,000.00 limit established by the City. Precise hours will not be estimated for either subtask. Task 1-Miscellaneous Services Involved with the TAP BPS Objective: Perform observations and provide recommendations regarding development of adjacent property. Assist with final startup. Approach: 1.1 Provide input to the City with respect to adjacent property development alternatives. 1.2 Perform observations and provide recommendations on equipment startup and functionality. 1.3 Management support for the TAP Committee in support of the Intergovernmental Agreement between the Cities of Talent, Ashland, and Phoenix ongoing planning, review, oversight, and maintenance of the TAP Water Intertie Pipeline and Water System Improvements. Assumptions: City to coordinate time availability for staff and equipment representatives. Provided by City: • Documentation regarding adjacent property development. • Coordination of staff and manufacturer representatives for equipment operation. RH2 Deliverables: • Recommendations and communications, as needed for each subtask. Project Schedule The duration of this project is not to exceed twenty-four (24) months, with completion expected by January 16, 2019. 1 1/27/201710;53:09 AM \\rh2\dfs\Bothell\Data\COA\540\TAP Services\PSA SOW Ciry of Ashland TAP Services 20161229.docx ORIGINAL 1 PAGE N0 7 OF 7 PAGES EXHIBIT B RH2 ENGINEERING, INC. 2017 SCHEDULE OF RATES AND CHARGES RATE LIST RATE UNIT Professional I $123 $/hr Professional II $133 $/hr Professional III $139 $/hr Professional IV $152 $/hr Professional V $163 $/hr Professional VI $177 $/hr Professional VII $192 $/hr Professional VIII $204 $/hr Professional IX $204 $/hr Technician I $75 $/hr Technician II $82 $/hr Technician III $84 $/hr Technician IV $91 $/hr Administrative I $58 $/hr Administrative II $71 $/hr Administrative III $87 $/hr Administrative IV $104 $/hr Administrative V $125 $/hr CAD/GIS System $27.50 $/hr CAD Plots -Half Size $2.50 price per plot CAD Plots -Full Size $10.00 price per plot CAD Plots -Large $25.00 price per plot Copies (bw) 8.5" X 11" $0.09 price per copy Copies (bw) 8.5" X 14" $0.14 price per copy Copies (bw)11" X 17" $0.20 price per copy Copies (color) 8.5" X 11" $0.90 price per copy Copies (color) 8.5" X 14" $1.20 price per copy Copies (color)11" X 17" $2.00 price per copy Technology Charge 2.50% % of Direct Labor price per mile Mileage $0.535 (or Current IRS Rate) Subconsultants 15% Cost + Outside Services at cost Rates listed are adjusted annually. EXHIBIT C Scope of Work City of Ashland TAP Services January 2017 Background The City of Ashland (City) recently completed construction of the Talent-Ashland-Phoenix interne pipeline (TAP) Booster Pump Station (BPS) that was designed by RH2 Engineering, Inc., (RH2). The BPS supplies emergency potable water to the City in times of need. The City requested RH2 to provide assistance with utility installations being proposed within the easement adjacent to the TAP BPS that may result in functionality challenges at the facility. RH2 will work with the City to ensure site work will not interfere with the operation of the BPS. This Scope of Work will also include efforts related to the final startup and efforts requested with the intermittent running schedule proposed-by~~the City for the P~. RH2 will observe and coordinate with equipment manufacturers for startup d testing. This project will be completed on a time and expens basis up the $25,000.00 limit e ablished by the City. Precise hours will not be estimated for either subtask. Task 1-Miscellaneous Services Involved with the TAP BPS Objective: Perform observations and provide recommendations regarding development of adjacent property. Assist with final startup. Approach: 1.1 Provide input to the City with respect to adjacent property development alternatives. 1.2 Perform observations and provide recommendations on equipment startup and functionality. 1.3 Management support for the TAP Committee in support of the Intergovernmental Agreement between the Cities of Talent, Ashland, and Phoenix ongoing planning, review, oversight, and maintenance of the TAP Water Interne Pipeline and Water System Improvements. Assumptions: City to coordinate time availability forstaff and equipment representatives. Provided by City: • Documentation regarding adjacent property development. • Coordination of staff and manufacturer representatives for equipment operation. RH2 Deliverables: • Recommendations and communications, asneeded for each subtask. Project Schedule The duration of this project is not to exceed twenty-four (24) months, with completion expected by January 16, 2019. 1 4/4/3017 3:40:19 PM Z:\Bothell\Data\COA\1017-0~0 T_AP Svs\ConCract TAI' Services\PSA SO~~' Ciry of Ashland TAP Seca-ices 301G1329.doc~ A~~ ~ DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 5/24/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Alleri FUgltt CPCU PHONE (425) 898-8780 FAX (425)836-2865 Sammamish Insurance, IriC. N Ex : _ AIC No: _ 704 228th Ave NE, PMB 373 E-MAIL Allen_FugittQmsn.com ADDRESS: INSURER(S) AFFORDING COVERAGE _ _ _ NAIC # _ _ Sammamish WA 98074 INSURERA:Hartford Casualt Ins. Co. _29424 _ INSURED INSURER B :Sentinel Insurance Co . , Ltd 11000 _ RH2 Engineering Inc INSURERC:Continental Casualty Company _ _ 20443 22722 29th Dr SE Ste #210 INSURERD: _ INSURER E Bothell WA 98021 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1652302851 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ 2, 000, 00,0 DAMAGE TO RENTED 300, 000 A _ ~ CLAIMS-MADE ~X OCCUR PREMISES Ea occurrence $ _ X 52SBANX7343 5/29/2016 5/29/2017 MED EXP (Any one person) $ 10, 000 PERSONALBADVINJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ _ _ 4, 000, 000 X POLICYa PRO- ❑ LOC PRODUCTS-COMPlOPAGG $ 4,000,000 JECT OTHER: Employee Benefts $ 4, 000, 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1, 000, 000 (Ea accident) _ ANY AUTO BODILY INJURY (Per person) $ B ALL OWNED SCHEDULED X 52UECHA6335 5/29/2016 5/29/2017 BODILY INJURY (Per accident) $ _ _ AUTOS AUTOS X X NON-OWNED Pea c dentDAMAGE $ HIRED AUTOS AUTOS - - _ Medical a menu $ 10 , 0 0 0 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ 2, 000, 000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2, 000, 000 DED X RETENTION 10,000 52SBANX7343 5/29/2016 5/29/2017 $ PER X OTH- STATUTE ER_ (EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOR/PARTNEWEXECUTIVE E.L. EACH ACCIDENT $ __1, 000, 000 OFFICEWMEMBER EXCLUDED? ~ N 1 A A (Mandatory in NH) 52SBANX7343 5/29/2016 5/29/2017 E.L. DISEASE - EA EMPLOYE $ 1, 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1, 000, 000 C Professional Liability AEH004312321 5/29/2016 5/29/2017 Per Claim $3,000,000 Claims Made Deductible $200, 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Ashland is named as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 5 2 4 N Main S t. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE A Fugitt CPCU/JONA ~'G"'~~f'`~ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS(1~5r~n~4n~~ ~ r r r _ ~~rA,~ ~ ~ Fiscal Year 2017 Page: 1 of: 1 . _ - - _ ~E1~-l~L~~-~-`~~PP_-..F~B~N ill.-=-- B City of Ashland - - - . ~-Gll!~- - _ N: Accounts Payable - - - L 20 E. Main Purchase L Ashland OR 97520 Order # ~ ~ V T Phone: 541/552-2010 O Email: payable@ashland.or.us ~ S CIO En ineerin Division E RH2 ENGINEERING,INC H 51 Winburn Wag y ~ 22722 29TH DRIVE SE, SUITE 210 P Ashland, OR 97520 O BOTHELL, WA 98021 Phone: 5411488-5347 R ~ Fax:5411488-6006 _ _1lendQr~PhoreNumb~r_ ~ V~n~r~~Nu~sr=t~~~u~~~~r~: -l~~n-~~r~-J - ~~~~~r~-~-~=_~_ Scott Fleur _ Date Qr~er~s~ 1~er~dQrl~umbQ~ Qa~> ~r~~L _ = m~r~"~i~~=- 0312712017 1229 FOB ASHLAND OR Cit Accounts Pa able _ - - - _ - Item# - - = =~~s.~r _t~~rfiL _~rt~__- - - e =Rr[c~_= General Services TAP 1 General Services for TAP pump station completion and TAP 1 $25,000.0000 $25,000.00 committee support. Contract for Personal Services less than $35,000 Beginning date: 0111612017 Completion date: 01/16/2019 Project Account: E-200808-100 GL SUMMARY ~ 081800 - 704200 $25,000.00 ~ ~ ~ ~ r~ By: F ~ s~ ~ ~ Date: ~ ; ~ A~itf~orized Signature - $25 000.00 ® ~ ~ ~ ~ _~bez CITY ~ L REQI>ISITI®IV ~ ~ ~ date of request: '~''-217 Required date for delivery: ASAP Vendor Name Ru FMII1PPflflfl Address,City, State, Zip 22822 28th SF, StP 21(l Rnth~~, WA q~(129 Contact Name & Telephone Number JeLL,~41665-5233 Fax Number SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Emer enc ❑ 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 note or ro osal attached _ Attach co of council communication - If council a royal re wired, 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 # ❑ VerballUVrittenquote(s) orproposal(s) -(Attach copy of council communication) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or ❑ 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 IntergovernmentalA8reement $5,000 to $75,000 ❑ Form #9, Request for Approval ❑ Agency ® Less than $35,000, b direct a ointment Date original contract approved by Council: y pp ❑ Written quote or proposal attached (Date) ❑ (3) Written proposalslwritten solicitation Date approved by Council: s (Attach copy of council communication) ❑ Form #4, Personal Services $5K to $75K Valid until: Date Description of SERVICES Total Cost General services for TAP um station com letion and TAP committee support. $25,000.04 p P P Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST ® Per attached quotelproposal $25,000.00 Project Number 2008.08 Account Number 081800,704200 *Expendifure must be charged to fhe appropriate accounf numbers for fhe financials fo accurately reflect fhe actual expenditures. 1T Director in collaboration with department fo approve all hardware and software purchases: IT Director Dale Support -Yes /No By signing Phis requisition form, l certify that the City's public contracting requirements have been safisfied. ~ - _ Em !o ee. Department Head: ~ ~ `ual to or neater than $5,00 Department ManagerlSupervisofr~~~ City Administrator: ~ ~ t ~ r (Equal to dr greater than $25,000) Funds appropriated for current fiscal year; YES / NO ~ i Finance Director- (Equal to orgreaferthan $5,000) Dale Comments; Fnrm ff~ _ RPnI iicifinn