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HomeMy WebLinkAbout2017-133 Contract - Quality Fence Company Contract for GOODS AND SERVICES less than $25,000 CITY o F CONTRACTOR: Quality Fence Company ASHLAND CONTACT: Brad Rietmann 20 East Main Street Ashland, Oregon 97520 ADDRESS: 114 W. Pine St. Central Point, Oregon 97502 Telephone: 541 /488-6002 Fax: 5411488-5311 TELEPHONE: 541-664-2281 DATE AGREEMENT PREPARED: 4120117 FAX: 541-664-2949 BEGINNING DATE: 5-1-17 COMPLETION DATE: 7-31-17 COMPENSATION: Not to exceed $1,895. Attached as exhibit C GOODS AND SERVICES TO BE PROVIDED: Installing additional fencing at Strawberry reservoir. Scope of work 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 rims 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, 2798.225, 2796.230, 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 beheld 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. Cit ma terminate or modif this contract, in whole or in art, effective u on delive of Contract for Goods and Services Less than $25,000, 0613012016, 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. ObligationlLiability 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 A licable for each accident for Bodil In~u and Pro ert Dama e, Contract for Goods and Services Less than $25,000, 06130/2016, 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 coverages) without 30 days' written notice from the Contractor or its insurer(s) to the City. e. Additional InsuredlCertificates 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 (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 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. Contractor: City of Ashland By ~ _ By ~ ~ Signature Depa men ead Print Name Print Name Title Date W-9 One copy of a W-9 is to be submitted with v3 the signed contract. Purchase Order No. Contract for Goods and Services Less than $25,000, 06/3012016, Page 3 of 5 EXHIBIT A CERTIFICATIONSIREPRESENTATIONS: 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. f~~ (3) Telephone listing is used for the business separate from the personal residence listing. (4) Labor or services are performed only pursuant to written contracts. (5) Labor or services are performed for two or more different persons within a period of one year. (6) 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. e ~ ~ Contractor (Date) Contract for Goods and Services Less than $25,000, 06130/2016, Page 4 of 5 ~ ~ 1 I / EXHIBIT B ~ o s an . , . . ~ per hour effective June 30, 2016 (Increases annually every June 30 by the Consumer Price Index • ~ . ~ portion of business of their 401 K and IRS eligible employer, if the employer has cafeteria plans including ~ ten or more employees, and childcare) benefits to the has received financial amount of wages received by assistance for the projector the employee, ➢ Forall hours worked undera businessfrom the Cityof service contract between their Ashland in excess of ➢ Note: "Employee" does not employer and 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 1040 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 predominantly in areas where it can be seen by all employees, CITY OF ~S H LA N D Contract for Goods and Services Less than $25,000, 0613012016, Page 5 of 5 PR(JPC~S.~.~ ~ UALIT~Y FE~~E ~t~11~IP CAB # 8936 Find us also a;. 114 W. Pine Street 4G' s~~n~ Un:o^ Ave^;;~ PO Box 39$5 (541) 664-2281 Grants Pais cR ~'~2~,~ NO 1~ T001I1R6E 1-800-451-8883 ...~101Q8 fi~ Smell Central Point, OR 97502 tL, z NE n,am~~~~~ Lake e c Fax: (541) 664-2949 Roseourg oR 9?a;o PRGPOSAL SUBMITTED TO PHONE DATE City of Ashland Water Department 541-951-0003 April 3, 2017' STREET JOB NAME ~ CITY STATE AND ZIP CODE JOB LOCATION Ashland, OR 97520 201 Mitt Rd. Ashland, OR 97520 TTENTION EMAIL CELL Shawn shawn.sullivan~ashland.or.us t~4~e heret>> submit specitieatia~ns and estimate f~r~ Revision i Install 2 rows of razor ribbon on existing chain link fencing and 2 flag panels. Total: $1, 895.00 i I I i ~~'e Propose herek~~~ to fumislx materials and lobar--c«tttpictc in are«rdanec ~+~ith a~it~~~e ~pecifieati~~nti, liar the tffn of d111;1'l;i It? ~l' 11k1t C $S ~1i1) PAYMENT ON COMPLETION I r~a,er,a~ !s gua>anieed to De as spec,fed Alf work to be completed m a workmanlike manner acGOrtlrng 10 ;tit}~~}ri7~t~ .~,r,,,,~ I atan,iard ~rad~des Any alferaiion or dev~aUon from above specrfcaC~~dns involving extra costs wrtl tre executed Doty ~i .,pon wril~en orders, and w;ti becomz an extra charge over and abova the estimate Ali agreements contingert spun ~ I~il`ltiif~ i stakes acc;dents o! delays beyond our control pwrer to carry r+re tornado and ocher necessary insurance cur i m~orE:ors are fu',~y covered by'JVorkmen'S Cornpensatica insurance 7h~s proppsal is also subject to ail terns and ~I"iit~ t7lCttitaDq t~i11f1 ~onu~t;ons ;onta~ned do the reverse sEde t•~erep" i ?~atc This ~xop~~~al may be ~~~ithdratiti~n b~~ us if u~~i acca?tcd LtiiE!~in l~~ da~~, Acceptance of Proposal--All prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as ~i~t7atr~r+` specified. Payment will be made as outlined above, I have read the entire c:oriract and agree to its content. Signature ~ Note: C~uality Fence Co. not responsible for any damage to anything in or i t;elow the ground ar concrete. This includes private water line, electrical line, sprinkler systems, etc. Your signature indicates that you fully understand the limits of Quality Fence Co. responsibility. I)t>te ul~aecept~~nce: ~""'1 QUALFEN-01 ATHOMPSON `~~RO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY) 05!11/2017 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: McMinnville Office PHONE FAX Payynewest Insurance, Inc. (Alc, No, Ext): (503) 472-2121 (Alc, No);(503) 434-5872 P.O. BOX 269 AI oRlESS: McMinnville, OR 97128 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Hallmark Insurance Group 43494 INSURED INSURER B Quality Fence Co Reliable Electric Western Vinyl Products INSURER C Steve Rietmann INSURER D PO Box 3985 Central Point, OR 97502 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 44CL466835 1111912016 1111912017 DAMAGE TO RENTED 100,000 X X _ PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,00,000 POLICY X PR~ LOC PRODUCTS - COMPIOP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000 (Ea accident) $ ' ' X ANY AUTO X 44CL466835 11/1912016 11119/2017 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,00,000 EXCESS LIAB CLAIMS-MADE 44CU466836 11/19/2016 1111912017 AGGREGATE $ 3'000'000 - DED X RETENTION $ 10,000 $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS' LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N 1 A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Commercial Property 44CL466835 11/1912016 11119I2017'leased eq 25,000 A Commercial Installat 44CL466835 11/1912016 1111912017 installation fltr 5,000 DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Ashland is additional insured as respects liability arising out of the activities by and on behalf of the named insured per attached endorsements. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ~ ACCORDANCE WITH THE POLICY PROVISIONS. 90 N Mountain St Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD . pol~1CY NUMBER; 4 4 CL 4 6 6 8 3 5 ~ ~ , ~ CoMMERcIAL. G1=N~G~ ~ QZ~ 07` 09 . i " . ~ THIS ~NDORS~M~NT:CI"IAN~~S TI•IE•POLI~Y, :PLEASE R~AD~ IT~~CAI~~FULLY;'. , . • • ~ . . . ~ ~ . ~ . This endorserr~ent modifies lnsurance provided under.the fallowing; . , , ~ , , . • , ~ ~ , ~ , . • ; . ~ . ~ • . • ~ coMMERCIAL GENERAL LlAB1LiTY .coUERAG~ PART', , ~ . ~ ~ , ~ ~ • . ~ , _ ; • ~ ; ~ , ' ~ ~ A, • Section 11--.Who 1s~An~lnsured~is~amended to include•as~an•addltional insured. any, person or;organization • . ~ , . . o erations.When au and~such~ erson.ar.or anizafiomhave~a reed~in wrlfin In ' ~ . ~ ~ .for whom you are:perforrning~' p Y p 9 9 9 ~ " . • • . ~ a contract or agreement•that~such~persan~ ar organization~be~added~as an additional insured•far:completad . ~ ~ ~ ~ ~ • , ~ aperatlons.~ Such person~or~organization is•an ~addltlanal insured onlyto.the extent the#.the iiabl;llty for "badily • ~ • • ~ Injury" or "property damage" is caused, in whole or ln~part, by "your work" performed for that addltlanal~in- ~ . ' ' . cured and included inthe"products-completed operati.ons.hazard,". ~ . ~ . . , • • ~ . • ~ B. UUlth respect to the lnsurance afPordad ~to #hese. addltional.lnsureds, the follawing limitations apply; ~ ~ , • . , . . ~ , , . ~ ~ 4, 'This additional insured status'is granted only at the locations listed in fhe written contract; ~ . . ~ ~ ; . . ~ ~ Coverage Is.limitad to "your work" that is descrlbed~~in the classifications or schedule of hazards shown ~in ~ , , . . ; . the General Liability Declarations of#his policy, ~ ~ . ~ " • . ~ ~ C. UUith respect to the insurance afforded..#o these addifional~ insureds; .the following exclusion applies:. . ~ • ~ ~ This lnsurance does hat apply to: . ~ ~ : . . ~ "Bodily injury" or "property damage" which occurs ~priar to the.executton of the wrlffen contract or the ~effec- . tlve date ofthis endorsement, • i • • ~ i f I • " ~ GC ~ Q 25 O7 ~9 ~ . " Includes oapyrighted material of~ - Page ~ of'i • ❑ . • ~ ' ' ~ •lnsurance Servlces'Of~ce, Inc,, wltii its permission ~ ~ . 1 • Ai~TlS~NS ~~'V~IUrA'r~ 1«~lH~~'1~~1C ~OVEF~~~Ir ~I~DQR~~11111rl~T ~ THIS E~VD,OPiS~MEi~1T GHANQ~s SHE PpLlCY, P~.EASE READ JT GAREFULL~', , This endarsementmod!>1es f>7surari~e prQvlded under the tnllay~ring: ' • ~ 'I: ' BUfi;~JNA'Abl~ 1''~pS~11fAL pRt~~ER~v G~1l~RAf~E FDFtM . , ~ , 1 ~ ' ~I;,M. • GAiJS~~ 01;•1"09'9 ~ Sp~CiI~I,1~D~N( ~ • : ' ~ ' „ , ti , , CDMMEA0I~I, ~}~~17~~f Tr Vd~~ll.~~l~f5. ~ , ' , . ~ ' • ; . ,.f. ~ , / 1, ~ . , , CO]S~MEaGIaL gWN~RAL'Ll'a~!!:1`~'Y COIF~RA~~~ 1~OI~M , . ~ , I 't I When thls.endorsernent #s ~~oher~ ta•the. polloy, #rreuranoe under the 13u1lding and persanal'~rapat~y:Cdvera~er Pnrm,,t#~9. • ; ' ' Causes of Lass ~ 5peolsl !worm, the Commerb~al Propo>ty Cnndltlarrs acrd f#ie Cammerolai Qen~ral•Uab)~tly Coverage >~orm ls, , ~ r enhanced tc provide the aavexagas desarlbed.In thls ~ndnrsemenf, AI(other ovndf flnns o~the po.(ia}c,corrtlriue to apply, ~ ; • „ , , . ~hoBulld#n ,arrd Personal Pro ert ,Cover a.Form Causes~af.L~ss~ ~ ' •Thls.coveraga #s BuhJeottothe pyoutsla>~s.appllosb)e,tnl g p y ~ . • • ~peo#a) )warm, ti7e Gammercia# Properly Candlfinns and the Cefie~al l,iabllit~t Coverage 1;orm;, • I , • ~ . , ~GHEOUL~ Cayerege Enhanaemants Limits of insurance each L~cati~n, , I , ~ ~ . Proberttr 0overac~e'~:~ctstrsions Newly Acquired or Canstruoted Property Sulldings ~ , ' • ' , ' $~50,D00, at ~eoli Bu1lding,,, ~ , . ' ~~00 DQO. at ~aah Su(ldln ' Bus#>7aes i~ersona(Properly ' ~ ~ ~ ~ ' ~ ' Persona! )rfteats and Propert► of Others ~ ~ ~ D,oOD. at ~eplaoeme»t Gaet • , , Valuable Papers and Records (Other ~~n ~leatronic Data} ~ 25.000, ~ , , ~raperty o~~Premises {Ihclud#t~g ~api:ap's and Dther ~leatranlc Eq~lprneht~ ~ ~ 0.000. • , ~ , , ~ . • Outdoor Property (Named Pet11s~ ~ ~ ~ t,000, pertrgelshrub,~ rna (1mii:~.15.D00. fan-Owned Detached Tra!!er ~ ~ DODO, ~ ; Aocognts peca#vahie ~ ZS,ODa, . prflperty in 7ranslf ~lnaluding Laptops and Other ~lactrQnic ~quipman~7 ~ o,DOD, ~ ~ ' , ~rooart~r Addi€icnsi ~oyare~ ~#eotrorllc Daia ~ ~S,Opo, Arann Reward ~ 5rDD01 Water 8ack~Up and Bump Ovadla~v ~ ~],DDD, . , ' ! Susfness lnoome #ncluding extra ~xpanae ~ 28,ODb~ Inventory or Apprafsa# Gast ~ n,000. 1 • • Money and Seouri~es I Inside ~ ~ ~D,DDO, ~ i outside ~ S,ODp, ; Ordinanas or Law Douerage ~ ~ ~ ~ r CnvarageA Jnaludedwifhin $ullding Limit. , ~ ~ Coverages B and G CQm~lraed 26°~p ai~ldg, l,imlt, $~SD,DDD. ma;imum' j ~,n~~~ ~ ' outdacr Signs ~ f 1~eaharg#ng of P#ra 5xfingulshers ~ 5,p0o, , ; . Inland Itrrarine Co~rara es , i Installation Coverage ~ ~ ~ Q,DOO, , Dar>traotors Equipment Covarages~ , Small Tools ~ 2,5DOI (Maximum limp par Item X500) , i ~ Employee Small `fna#s ~ 1,ODQ, ~M~c#mum iirnlt per }t~.m ~~SQ} , ' Leased and.Aented ~5guipment ~ 5,000, , , , ~ . , ' f Rental Aelrnhursemenf ~ ~,ODa, , , , ' ~enerai i.,fab9(Ity Addltlonai 0av~ra es ~ , ~ ~ • blanket Additlorraf 1DslSred {Inaluding Primary Non~Cor~trlbuting CQv~rage} lnafuded In ~aah ooaurr.anoa.,Lf m)t , , (~ablle ~qu) pmenk RraAdened Coverage lnoluded in 1~a~h Opaurrenoe LIm1,t. ' , Aggregate Umlf Per Pro~sol: Jnoluded Eaoh 4courrenae Liml~ . , Blanfcet UVaiver ~ lnaluded''in ~aoh Dcqurrence 1.Imit , , ~ , i~P D7 s7 a~ oa Isaludes papyrlghfed mataliaJ of leo PraperUes,lpc, and Rage ~ oT ~8 ! f~madcao~ssoola~an of Insaranoa Serufoas, lno,,u~ed wi~ihairpetmlaelan ~ ' ~ ~ . 1 ' , I ' -1 c. The following Js added to property ~Jat ~nuered of the BU1Lp1N~ ANIa ~I;a5DNAl. Pl3Dl',~~TY ' CC~U~I~Atx~ JWGAM; ~ ~ r. Property while stored nr operated underground In ponnectfan with any mining operatlons~ d. The following is added to Paragraph of 2. ~xcluslorrs of the C,~U~~5 aF L0~5 ~ Sp~C1AL r4F~IUl i n, 1Ne will natpay~gr lass ardamage caused bypunature, blowautand rQaddamage'ta tires andtubes mounted an ~ , i , vehloles, Hoyve~er,'we do pay for punoture, blai~rout or road damage caused by a speolfled per1L o,1~e wl~l net pay for loss aau$ed by humidity, dampness, dryness or changss'In ar eXtrsmes Af temperature, ~ , We Wi11 net payfarlgss oauged bytha weight tlf a load which► underthe operating condltlan5 atthe time of'a lost, , . ' axoee~s the registered ~lftfng,oapaclty, of r~ny egtllpment or maohlne. , ~ ~ M ' q, , Ihle.w111 norpayfor loss due~to~haff ormystarlous diseppearanaetrom anyvehfole or attaohed,Qantelner. UVs~ . : • ~ , ' , ' , , w1(i pay far•loss due to burglary when there are sig~7s of torojble entry to a foolced vshlole or aontslner, . , • ' •e~ 1~~7uValuatlor~ ofthe 8~11~~11NG ANI~,P~1~;~o1~41~ PRaPE~TI~ ~01~~A~C'^ Ira~r~! is deleter~and rppiacadbythe • ' ' . , . fallawirtg: ' . ~ 7'r 11a1ua~ion ' 1Ne w111 determine fhe value of covered praperiy in the event of loss ar damage as roliaws: . ; ~ , . ~ ' • ' ' a, At aotual oasl~ value at the dine of the loss (wlih a dbducfion for depreclatlon) exas~t as provided' In • ' , ' paragraphs b~ and c, following> , ' b, patr ar ~et~ 7hs value a~ a loaf or• damaged artbls which is part of a ~palr ar set !s~ based on a reasonable , proparrlan offhe value of the entire pair ol'set, The loss Is not aQnsldered a fatal lass of the pelt pr sat,' • . • • ~ 'o; lass to Aarte,''1'he value of a last o~ damaged parr of a~ ltemphate onalsts of several parrs wheh 11 ie , , oompiete is based an the value al at71I the last or damage part r th cast to repair ar rapiaoe 1t. , ' ~ 2 13enial l~eimbu'rsarasr~t ' . ' • ' . In the event al' lass by a covered peril to covered cantra~tors' equipment fhatyou c7Wn, wa w1p reimburse y~u.far your ~ • expense to rent similar equipmerri while your equipment is inaperabla: The most we wJll reimburse ydu for•rerrrtal . • , • reimbOrsemeni ~xpensesis ~1,~C0,' VI1e w111 continue ~o re~mburse you ~ e rental nTequipmentaftErthe expiration • date a; this aaverage prauldad the lass occurred baron th a ,pfrati n We will not reimburse you: ' a~ If you oan aontinue or resume year operations wlih slmflar equfpmentthat Is availaf~le io you at no add~lonal, expense to yau; or , b. Fc~rthe rental expens~.of any equipment unless you make every reasariabie afiortfo repair, rep}acs cr reb~lld the inoperable equlpmeniaitsrthe oovered lass occurs ~f ~h respeGrto this Additional Coverage, Cnl~tractors 1~qulpment Gaverage, Section D~ Aeduczibis orthe 81~1~7~NG , Af~D P~RSa1~Ai, pROF~E~7~ CUVE~A~~ PI~~IVI is deleied and replaced byths 7allawing; , r . I1, AetltSCtible . ~e will notpayfar foss or damage in any one ocourrenoe untllthe amount of loss or damage exceeds ~SDC. ~Ve u~ill ~ then pay the amau~t of bss or, damage lq excess pf $50D up to the applicable limit of inst~ranoe, , . , 1 Wa will not reimburse you fcrthe rental of equlpm~nt anti! attar 7~ hours have passed sines t1~e caverad property , , was rendered Inoperable, Attar 72 hours have passed, we will only reimburse you fo~~the rental ekper~se ghat you ~ • actually inour, • The deductible of $500 does not app}y to rental reimbtirsemerit~xpanses, . GengratUabifityJaddrtipnal Gouerages ~ , ~ ~ , I The iollowlny'Add~ionsl Govareges a~'e added to ti;e ~GMIVI~E~CIAt, C~hI~f~At, M1A~lI,iTY GDV~RA,~~ FQ}~IIlI. , , . ' • A,~ ~IanketAddltfanal Insured Coverage ~ ~ ~ ~ , , s~crla~! ll ~ WH o i5 Ai~f I~ISUI~~A afthe ~QMiI~IARCiAI. C~~hIcRAI. I,1,~BIl,ITY ~aVI:~AA~ FDt~~ is amended to ~ ~ ' . )nafude es a~ insured any parson ororganization (referredta as Additional lnsuredy Wham you era requfred•to add qs a~ ~ ~ . , Addlilanal Insured on this policy under' ' ~ , , • ' a, A Wrltton aontraot or agreement; and ~ ~ ' ~ ~ ~ , , ' ' • b,'Whareaoeriifioatffailnsutanceshawingthatparsonarorganfzatianasartaddltlonalfnsuradhasbsanissued;and , • Fagg ~ of 1 g pyrlnhtetl malapal of 18D Praperbes, nc, antl MP g7 57 D4 ~8 lanludes as I American ~soalalfo~ of losuranoe Bsroloaa, inc.; used wish Shalt permlealan • I`a I ~ 1~, glarike# WaivaP pt' Transfer Gf 1~lghts Of Recaver}~ Against Dthe~$ Ta ~ls y The Transfer Df Rights of ~ecflvery •Agalryst Ufhers Ta E!s Candiffpn (SE~c?'fohi lv ~ CC~]UllSlt>r1~Cl~l. q~N1rRAL LEAB$L~'Y CbN~17'Iph$~'is amended by the addlf~an of fhe ~olbwingl ' ! INe,Waf ve any right~of reaouery Wa'm~y have against aryy: person or or~anixatlan to wham you by wr)tren contrast ar ~ , agreement have wai.~adyourown right or reoaveryfor f ose caused by.lhak persan or nrganlzation becau,~e of paymenfs we . , ` . ' make for in)ury ar damage arlsirrg out of your oni~aing ap'et~tioh6 ar,'►yourwdrk" ~ot~e under a gontraot with that person ar•~ . . ' arganlza~on and included In fife produats•oompl~tgd opartttions hazard," , . • , ~ ~ , , ~ ~ ~ 1 ~ 1~ I 1 I • • Add>'flnnai Condlflatys ' ~ ' . M I ~ • ' • ~ ' ~ A, Insurartca Uttder.7'wo arMore Coverages ~ ~ , . . The fo(fowlrig ls~added to~pal'egraph~C. ~ns~arance undar'TwDror~tUlnCe Coverages of the~CDC~l7l1~RCi,~i. p~aP~H~'Y ~ ; . ~ , . . 1 CaNbI71p1~'~: 1f a Coverage Forrnlis a~achedta this policythatprovldes a limit~or any coverage provided bythis endarsemerrt; t1~e ltmlt • ' ~ Shawn in fhe SC1-i~nUi.E and the coverage provided by•this endarsamarrt aPe daletec! atyd replaoad by the'11mit and , . • ~ , , coverage provided ~ytl~e Coverage >~arm, . ' 1 B, Limits af.lnsuranae • ~ ~ ' ' ' ' ' Aegardles5 aftha nuti'tberofbulldings atabaatlal7 ooveredby thle endoraemai7t, the mastwe wilipay uPderthls Cavsrag~ f ~nhanoemgnt andcrsement fa~any one aaourrenba Is the appilcable Limits of Jnsuranae si7own in the'RpH~DU1,~ on page ~ . , . of this andorsem$nt~ . , , • ~ ' G, Deducflbies ~ . ' , j he Deductlbie descrfb'ed in section oFthe BUII.DIN~ ~~fD P~►~~OI~Ai.1'ROPrRT'tr pl~U11~AGE applies~o • . . each Oi the Coverage ~nhancemettts except as shvuun belot~r, , , , . • , ~e wili nor paytnr loss ar da~age 1n any one acourrena~ unt11 the amount or' less er damage exceeds $5oR.1Ne~~vif 1 then ' paythe amount ei`iossordamage in excess af~5D0 uptathe appilcable f.imltaf insurancefarthe tailawing enhar7cemants: personal ~fiieats and Propari}~ ar Olhers ' ~laluable Papers and Reoords (ether than ~ieatronlo Data • ACCOUrktS RBCgIV~~I6 Property Dtf•Premisas (lnciuding baptaps aryl Dther E(gcircnic ~quiprnent) . ouidaor Prapel~ Named l'erilr7 . Money and Securities ~ , ' ~ 7, Water Back~l~p and Sump overtiow • ° ' 8. ~laotronic Data . ~ , ~ . 9, l~ropsrly in Trans{i (Including i~ptaps and C~hsr ~lectranic ~quipmant) . ~ Flo deduotible prouisions appiyto the iollouying enhanaamsnts; ; . ~ ~ 1 • i 9. Arscn Reward • ~sGharging of Flre ~Xfingulshers • ~ inventory ar Appraisai Cast • ' ~ • q, Aet~ai Reimbursement ~ ~ ' • i . p, ~dditianai Deiinifroi~s , • , ' The falbwing ~,ddit'lana{ nefiniiians app{yta this endarsemerzt oi~lsr, . . ' I bulidiz~ ~ aacu 7,, "~anlcing Aramisas" r~eans the interioraf#,hixt pardon of any'„ 9,. ' pjad by a ba~klpg lnetltuti~n Qr elmflarleaf a , dapasltary ' / . "~uslness inaame" means ths~ : ' ~ ~ ~ , . . , . a, Nef,itraoms (i~at Pra~~ar;lass before 1noo~staXas~ that,wouid have bean earryed had rao,lass ocpurred;, and , ~ ~s 1 . . b, Cor~lnuing normal opsrating expanses jncurred; lnaluding~payroll. , ' Far manutactuhng risks, Nat l~came kncludes the net sales value cf pmduatianl Page ~ 6 cf 18 lanludas copyrlghlad makarlal ~f ISR Prap~r~e~, Jna, apd tai' 97 67 0~ D8 , Amanas~ a~aabi~fon aflnsurano9 $eNla~s, inn,, usac~ with ihair.pamt~sslan , ' ' 1 - A~~ ® BILITY INSURANCE DATE(MMIDDIYYYY) CERTIFICATE ~F LIA 10/12/2016 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Kriati R_Dolmage _ Hart Insurance Agency - Medfozd PHONE FAX PO Box 1240 q(_1C,No,Ex>:); (541) 779-4232 (AIC,NoI: _ E-MAIL ADDRESS: _ - - Grants Paes OR 97528 INSURER S AFFORDING COVERAGE NAIC # INSURER A ; SAIF Corporation _ INSURED (5411 664-2261 INSURERS: _ _ _ Quality Fence Co. INSURER C : _ P.O. Box 3985 INSURERD: _ - Central Point OR 97502-3985 INSURERS: _ INSURER F COVERAGES CERTIFICATE NUMBER: Cert ID 1324 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 SUB,lECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ _ INSR ADDL SUER POLICY EFF ~ P~~LICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY COMMERCIALGENERALLlABILITY EACH OCCURRENCE $ _ DAMAGE TO RENTED CLAIMS-MADE ~ OCCUR i II li PREMISES (Ea occurrence) I $ - MED EXP (Any one person) $ PERSONAL 8 ADV INJUR_Y_ $ GENERAL AGGREGATE. $ GEN'L AGGREGATE LIMIT APPLIES PER: ~ PRODUCTS • COMPlOP AGG $ POLICY PRO ' LOC JECT -J - - OTHER: AUTOMOBILE LIABILITY I ~ 0 aBc tleDISINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person} $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS - HIRED NON-0WNED ~ PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accideni~ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ _ EXCESS LIAB CLAIMS-MADE AGGREGATE _ DED RETENTION $ _ $ WORKERSCOMPENSATION y 738638 10/01/2016 10/01/2017 % STATUTE ~RH A I AND EMPLOYERS' LIABILITY ANYPROPRIETORlPARTNERlEXECUTIVE YfN E.L. EACH ACCIDENT $ 500,000 OFFICERJMEMBEREXCLUDED? N t A 500,000 (Mandatory In NH) E.L. DISEASE • EA EMPLOYEE $ If yes, describe under 500, 000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ ~i DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Addltlonal Remarks Schedule, maybe attached If more space Is required) Waiver for all written contracts applies CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland 20 E Main Street AUT~H/O,R~IrZ`EDR~EiP{~RESENTATIVE Ashland OR 97520 ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Page 1 of 1 www.saltcom ss~fcor oration Carrier No: 20001 Endorsement No: WC4003i 3 Policy No: 738538 Agency: QUALITY FENCE CO TERRY FAULKNER PU BOX 3985 HART INSURANCE AGENCY CENTRAL Pp1NT, OR 8702-0040 PQ BQx 120 GRANYS PASS, OR 97528 Waiver of Our Right #o Recover Frorn Others Endorsement We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement shall not operate directly ar indirectly to benefit anyone not named in the Schedule. Schedule Description; ALL OPERATIONS Contractor Name: PERSONS AND10R ORGANISATIONS WITH WHOM THE INSURED-EMPLOYER IS REQUIREp BY WRITTEN CONTRACT TO WAIVE SUBROGATION RIGHTS This endorsement does not alter the rights of an injured worker to pursue recovery from another party or SAID' to receive a statutory share of recoveries by an injured worker, even from the party listed in the schedule. The ~emium charge fQr this endorsement is based on one (1} percent of your manual premium. This endorsement is part of your policy, This +~ndorsernent amends and controls anything to the contrary. it is otherwise subject to all other terms of your policy. Countersigned 1Q-15.2415 at Salem, Oregon 430b Kerr arnett, Pr sident and Chief Executive Ofhcer Opp Nigh St SE i Salem, OR 91312 ~ P; 800.265.8525 . ~ Purchase Order ` ~ ' Fiscal Year 2017 Page: 1 of: 1 _ - - = -~L B City of Ashland - ATTN: Accounts Payable - - ~ 20 E. Main Purchase 7 Ashland OR 97520 Order # 1 T Phone:5411552-2010 O Email: payable@ashland.or,us ~ H CIO Water Division N QUALITY FENCE COMPANY 190 North Mountaiin Ave PO BOX 3985 p Ashland, OR 97520 ~ CENTRAL POINT, OR 97502 Phone: 5411488-5353 R ~ Fax:541/552-2329 - Steve Walker - - _ ----Daf~~~ _ ~s~Q~1TU%_~~---_~~~--- __~_.q~_~- [rte- _ . - . - _ _ m~ ; . ~ i~rt - 0511712017 176 FOB ASHLAND OR Cit Accounts Pa able t~m#- - - - - - _ _ _ _ - - - _ - _ ~ - - - - -t~l-~~ @ - = 1~~=: Fence Installation 1 Install additional fencing at Strawberry Reservoir 1 $1,895.0000 $1,895.00 Contract for Goods and Services Less than $25,000 Beginning date: 05101/2017 Completion date: 07/31/2017 Project Account: GL SUMMARY 081800 - 602400 $1, 895 00 B Date: ~ ~ ` ' I y' ~,,~~~AGthor~~d~Signature ~ $1895.00 ~ 9 F~IZM #3 ~~~~,..~F CITY 0 F ryy-.:~~ _ ~ ~ S H LA REQUISITION Date of request; 5/3/17 Required date for delivery; ASAP Vendor Name Quality Fence Company Address, City, State, Zip 114 W. Pine St, Central Point, Oregon Contact Name & Telephone Number Brad Reitmann 541-664-2281 Fax Number 541-664-2949 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 uote or ro osal attached _ Attach co of council communication _ If council a royal re uired, attach co of CC X Small Procurement Cooperative Procurement Less than $5,000 ❑ Request for Proposal (Copies on file) ❑ State of Oregon Direct Award Date approved by Council: Contract # ❑ VerballWritten quote(s) or proposal(s) .(Attach copy of council communication) ❑ State of Washington Intermediate Procurement ❑ Sole Source Contract # GOODS & SERVICES ❑ Applicable Form (#5,6, 7 or 8) ❑ Other government agency contract $5,000 to $100,000 ❑ Written quote or proposal attached Agency ❑ (3) Written quotes and solicitation attached ❑ Form #4, Personal Services $5K to $75K Contract # PERSONAL SERVICES ❑ Special Procurement Intergovernmental Agreement $5,000 to $75,000 ❑ -Form #9, Request for Approval ❑ Agency ❑ Less than $35,000, by direct appointment ❑ Written quote or proposal attached Date original contract approved by Council: ❑ (3) Written proposalslwritten 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 Installin additional fencing at Strawberry Reservoir $1,895 Item # Quantity Unit Description of MATERIALS Unit Price Total Cost TOTAL COST Per attached quotelproposal $ Project Number _ _ _ _ _ _ _ _ Account Number 1 ®6024 Account Number a Account umber Expenditure must be charged to fhe appropriate account numbers for fhe financials to accurately reflect fhe actual expenditures. fT Director in colfaborafion wrth depar~rnent to approve aft hardware and software purchases; 1T Director Dafe Support -Yes / No By signing this requisition form, I certify that the City's public contracting requirements have been satisfied. e s ~ ~ Department Head ° ~ 5_ (Equal to o~~~e terthan $5,000) Department ManagerlSupervisor. ~~,x ~ =-City Administrator, (Equal to or greater than $25,000) Funds appropriated for current fiscal year. YES.,lj0 ~ ~ ~ ~ I - ,,:~i~ance D~eL'~ ~ qua(to or greater than ~5, 000) Date Comments: `-'J! Form #3 -Requisition